Individual
HATTIE HICKLEN
Active
Individual
HATTIE HICKLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
563061
SC
374U00000X
Home Health Aide
CN0014219460
GA
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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