Individual
ALICIA NICHOLE HASQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5979 DESERT STORM AVE, FORT CAMPBELL, KY 42223-5514
(082) 273-5348
Mailing address
332 W EDMUNDS ST, HOPKINSVILLE, KY 42240-1742
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
03/13/2020
Last updated
01/30/2025
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