Individual
SIERAH HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2525 SOULT ST, MANDEVILLE, LA 70448-6250
(985) 626-8778
(985) 626-1640
Mailing address
2525 SOULT ST, MANDEVILLE, LA 70448-6250
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN150638
LA
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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