Individual
MR. ELZA LEE HICKINBOTHAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
162 HARRISON AVE, CAMPBELL, CA 95008-1444
(669) 294-4341
Mailing address
162 HARRISON AVE, CAMPBELL, CA 95008-1444
(669) 294-4341
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
CA
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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