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Individual

TIFFANY HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, IBCLC

Contact information

Practice address
625 LAKEWOOD FARMS DR, BOLINGBROOK, IL 60490-3169
(515) 835-9045
Mailing address
625 LAKEWOOD FARMS DR, BOLINGBROOK, IL 60490-3169
(515) 835-9045

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L-311240
IL
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-311240
IL

Other

Enumeration date
03/03/2025
Last updated
03/03/2025
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