Individual
KIMBERLY HICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L. AC.
Contact information
Practice address
6633 N MESA ST STE 507, EL PASO, TX 79912-4422
(915) 585-6222
Mailing address
6633 N MESA ST STE 507, EL PASO, TX 79912-4422
(915) 585-6222
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01487
TX
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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