Individual
MS. LAKEYSHA DANYEAL HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2705 OLD YELLOW SPRINGS RD APT 101, FAIRBORN, OH 45324-2652
(937) 397-1543
Mailing address
2705 OLD YELLOW SPRINGS RD APT 101, FAIRBORN, OH 45324-2652
(937) 397-1543
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/06/2022
Last updated
11/25/2022
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