Individual
RACHAEL ANN HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1900 W AIRLINE HWY, LA PLACE, LA 70068-3338
(985) 652-7000
Mailing address
29 WAVERLY PL, METAIRIE, LA 70003-2553
(504) 421-4435
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
332712
LA
Other
Enumeration date
04/18/2022
Last updated
09/19/2022
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