Individual
CALISTA HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1324 LOVERS LN, MANHATTAN, KS 66506-2136
(785) 532-5568
Mailing address
16283 222ND RD, HOLTON, KS 66436-8649
(785) 851-7388
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/10/2017
Last updated
09/10/2017
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