Individual
JAMEL HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2831 WHITE HALL BLVD, FAIRMONT, WV 26554-8222
(304) 367-1206
Mailing address
2831 WHITE HALL BLVD, FAIRMONT, WV 26554-8222
(304) 367-1206
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2009-2537
WV
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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