Individual
DANIELLE MARIE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
20325 N 51ST AVE STE 108, GLENDALE, AZ 85308-5665
(602) 668-4723
Mailing address
6428 W GARDEN DR, GLENDALE, AZ 85304-3660
(602) 668-4723
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-23195
AZ
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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