Individual
MRS. AMBER OLIVIA HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
6965 COAL CREEK PKWY SE, NEWCASTLE, WA 98059-3136
(425) 641-7765
Mailing address
13710 2ND AVE NW, SEATTLE, WA 98177-3918
(206) 405-0393
(206) 286-8958
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00014408
WA
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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