Individual
ZACHARY HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1123 BALDWIN ST, SALINAS, CA 93906-3681
(916) 729-3098
Mailing address
456 DELA VINA AVE APT G1, MONTEREY, CA 93940-3945
(831) 313-8749
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SIF699A52053
ANTHEM BLUE CROSS
CA
Enumeration date
10/09/2018
Last updated
10/09/2018
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