Individual
MS. CLAIRE REGINA SICKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2850 S. 3RD ST., HUMBOLDT, AZ 86329
(928) 632-7199
Mailing address
PO BOX 865, HUMBOLDT, AZ 86329-0865
(928) 632-7199
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098764
AHCCCS ID
AZ
Enumeration date
02/02/2007
Last updated
12/21/2007
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