Individual
MRS. KATHERINE HATCHER HICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4000
Mailing address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
185437
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
3834
CA
Other
Enumeration date
02/07/2007
Last updated
01/21/2011
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