Individual
KIMBERLY HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2015 MAJESTIC PACE ST # A, LONGVIEW, TX 75604-2526
(903) 374-5282
Mailing address
2015 MAJESTIC PACE ST # A, LONGVIEW, TX 75604-2526
(903) 374-5282
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
302735
TX
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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