Individual
TIAUNA HICKEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 AUSTIN AVE STE 208, COLUMBIA, MO 65203-4294
(573) 321-9803
Mailing address
206 AUSTIN AVE STE 208, COLUMBIA, MO 65203-4294
(573) 321-9803
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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