Individual
MILTON TROY HICKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3720 PACIFIC WAY, LONGVIEW, WA 98632-5329
(360) 749-5156
Mailing address
3720 PACIFIC WAY, LONGVIEW, WA 98632-5329
(360) 749-5156
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
001
WA
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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