Individual
ANEESAH KAAMIL HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7203 W SOUTHGATE AVE, PHOENIX, AZ 85043-6605
(602) 752-8251
Mailing address
7203 W SOUTHGATE AVE, PHOENIX, AZ 85043-6605
(602) 752-8251
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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