Individual
SAMANTHA HICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5001 73RD ST, SAN DIEGO, CA 92115-1822
(866) 262-9881
Mailing address
3168 CAMINO ARROYO, CARLSBAD, CA 92009-7611
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
95256430
CA
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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