Individual
BRENDA HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
790 MOUNTAINVIEW DR, WESTERVILLE, OH 43081-5082
(614) 338-9218
Mailing address
790 MOUNTAINVIEW DR, WESTERVILLE, OH 43081-5082
(614) 338-9218
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3087510
—
OH
Enumeration date
08/11/2014
Last updated
08/11/2014
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