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Individual

ELIZABETH ANNETTE HICKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
30 BAXTER DR STE 180, HARRISONBURG, VA 22801-7632
(540) 908-3917
(540) 438-5783
Mailing address
4729 KRATZER RD, ROCKINGHAM, VA 22802-1216
(540) 578-5806

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002047576
VA

Other

Enumeration date
08/15/2018
Last updated
08/15/2018
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