Individual
CAMERON JOHN HICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA61559766
Contact information
Practice address
10614 CANYON RD E, PUYALLUP, WA 98373-4257
(253) 302-4817
Mailing address
10614 CANYON RD E, PUYALLUP, WA 98373-4257
(253) 302-4817
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61559766
WA
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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