Individual
MARCUS HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12501 IMPERIAL HWY, NORWALK, CA 90650-3179
(562) 864-7821
Mailing address
12501 IMPERIAL HWY, NORWALK, CA 90650-3179
(562) 864-7821
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-YTWHRO
CA
Other
Enumeration date
08/31/2012
Last updated
01/14/2025
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