Individual
DEBRA HICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4130 HUNT PL NE, WASHINGTON, DC 20019-3565
(202) 388-4301
Mailing address
4903 QUARLES ST NE, WASHINGTON, DC 20019-8147
(202) 642-8758
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12729
DC
Other
Enumeration date
05/07/2017
Last updated
05/07/2017
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