Individual
DR. MICHELLE J HICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., D(ABHI)
Contact information
Practice address
1000 VETERAN AVE, LOS ANGELES, CA 90024-2704
(310) 825-8948
Mailing address
3741 S CENTINELA AVE, LOS ANGELES, CA 90066-3125
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1769
CA
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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