Individual
MARYAM SICKINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
41990 COOK ST BLDG F1006, PALM DESERT, CA 92211-6100
(760) 568-9300
(760) 568-9331
Mailing address
41990 COOK ST BLDG F1006, PALM DESERT, CA 92211-6100
(760) 568-9300
(760) 568-9331
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
20A10108
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A10108
MEDICAL LICENSE
CA
Enumeration date
03/17/2010
Last updated
03/07/2023
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