Individual
RODNIQUE SOPHIA HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37267 KINGCUP TER, PALMDALE, CA 93551-6231
(770) 568-2662
Mailing address
37267 KINGCUP TER, PALMDALE, CA 93551-6231
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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