Individual
YASMINE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22501 OLMSTEAD ST, DEARBORN, MI 48124-2757
(501) 454-2443
Mailing address
22501 OLMSTEAD ST, DEARBORN, MI 48124-2757
(501) 454-2443
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
802799893
LLC IDENTIFICATION NUMBER
MI
Enumeration date
12/07/2022
Last updated
12/07/2022
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