Individual
MS. DESIRE D HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5360 MACKEY ST APT 7, OVERLAND PARK, KS 66202-1057
(913) 548-2168
Mailing address
5360 MACKEY ST APT 7, OVERLAND PARK, KS 66202-1057
(913) 548-2168
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2018018719
MO
Other
Enumeration date
01/03/2021
Last updated
01/03/2021
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