Individual
ZAQUAN H HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
44199 MONROE ST STE C, INDIO, CA 92201-3094
(951) 715-5050
Mailing address
44199 MONROE ST STE C, INDIO, CA 92201-3094
(760) 863-7997
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-TEWGZI
CA
Other
Enumeration date
10/12/2022
Last updated
02/23/2024
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