Individual
ALICIA NICOLE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRDH
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 546-7130
Mailing address
217 HILLENDALE CIR, ST JOHNS, FL 32259-8533
(443) 208-0044
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
D25456
FL
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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