Individual
LAMONT TERRANCE HICKS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8835 TERRY ST, DETROIT, MI 48228-2341
(313) 377-1018
Mailing address
8835 TERRY ST, DETROIT, MI 48228-2341
(313) 377-1018
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
01/01/2024
Last updated
01/01/2024
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