Individual
TERRY HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11001 N 7TH ST APT 2159, PHOENIX, AZ 85020-1143
(315) 771-9607
Mailing address
11001 N 7TH ST APT 2159, PHOENIX, AZ 85020-1143
(315) 771-9607
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
9924
AZ
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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