Individual
VIKKI STICKELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
780 W PEKIN RD, LEBANON, OH 45036-8492
(513) 967-4319
Mailing address
780 W PEKIN RD, LEBANON, OH 45036-8492
(513) 967-4319
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343800000X
Secured Medical Transport (VAN)
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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