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ALANDRA UNIQUE HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7027 BRANCH CROSSING WAY, DOUGLASVILLE, GA 30134-7041
(770) 990-7383
Mailing address
7027 BRANCH CROSSING WAY, DOUGLASVILLE, GA 30134-7041
(770) 990-7383

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
171711
OH
164W00000X
Licensed Practical Nurse
LPN100121
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
171711
LPN LICENSE NUMBER
OH
Enumeration date
04/24/2020
Last updated
01/17/2022
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