Individual
ALICIA FIKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N HWY 90 BYP, SIERRA VISTA, AZ 85635-2204
(520) 458-8655
Mailing address
1168 DESERT OAK PL, SIERRA VISTA, AZ 85635-1220
(703) 965-5047
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
1101004099
VA
156FX1800X
Optician
DO07457
FL
156FX1800X
Optician
Primary
LDO-003154
AZ
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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