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Individual

SUPRENA LENISE HICKMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN, MBA

Contact information

Practice address
201 N FRONT ST STE 615, WILMINGTON, NC 28401-5091
(910) 769-5855
(910) 222-3049
Mailing address
201 N FRONT ST STE 615, WILMINGTON, NC 28401-5091
(910) 769-5855
(910) 222-3049

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
186594
NC

Other

Enumeration date
09/05/2021
Last updated
10/10/2021
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