Individual
LINDA HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
44 GOUGH ST, SAN FRANCISCO, CA 94103-5422
(510) 854-0989
Mailing address
15 TOKAY CT, PLEASANT HILL, CA 94523-2634
(510) 599-2421
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
322785
CA
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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