Individual
TRACI LYNELL HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
612 MADISON ST SE, HUNTSVILLE, AL 35801-4401
(256) 527-3552
Mailing address
2813 BRETT RD NW, HUNTSVILLE, AL 35810-3306
(256) 527-3552
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
1-100221
AL
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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