Individual
MS. TRACY LYNN HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST, CSFA
Contact information
Practice address
1717 W WOOLBRIGHT RD, BOYNTON BEACH, FL 33426-6319
(561) 737-8031
Mailing address
1511 LEE CT, LAKE WORTH, FL 33461-6126
(561) 379-8372
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
107076
—
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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