Individual
FELICIA HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
126 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-8952
(573) 596-1770
Mailing address
126 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-8952
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
—
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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