Organization
HEATHER HICKSON LAC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER M HICKSON (ACUPUNCTURIST)
(954) 461-7529
Entity
Organization
Contact information
Practice address
5353 NORTH FEDERAL HIGHWAY, STE 220, FORT LAUDERDALE, FL 33308
(954) 461-7529
Mailing address
5353 NORTH FEDERAL HIGHWAY, STE 220, FORT LAUDERDALE, FL 33308
(954) 461-7529
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
AP3408
FL
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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