Individual
MELANIE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
515 MARTIN DR, XENIA, OH 45385-1615
(937) 562-2400
Mailing address
515 MARTIN DR, XENIA, OH 45385-1615
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN.291825
OH
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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