Individual
LASHUNDA SHANTEL HICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4438 KIRK MANOR CT, FRESNO, TX 77545-6054
(713) 582-9747
Mailing address
4438 KIRK MANOR CT, FRESNO, TX 77545-6054
(713) 582-9747
(281) 710-4712
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
938503
TX
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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