Individual
MISS TAMMI EVETTE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
714 MAPLE AVE, PANAMA CITY, FL 32401-4652
(850) 276-8395
Mailing address
714 MAPLE AVE, PANAMA CITY, FL 32401-4652
(850) 276-8395
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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