Individual
MS. TRECIA HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5751 N 96TH ST, MILWAUKEE, WI 53225-2614
(414) 463-2460
Mailing address
5751 N 96TH ST, MILWAUKEE, WI 53225-2614
(414) 463-2460
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
165067 030
WI
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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