Individual
JAMES HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
60 MDG/SGPQ, 101 BODIN CIRCLE, TRAVIS AFB, CA 94535-1809
(707) 423-7163
Mailing address
60 MDG/SGPQ, 101 BODIN CIRCLE, TRAVIS AFB, CA 94535-1809
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A-0392
WV
Other
Enumeration date
07/14/2021
Last updated
07/02/2025
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