Individual
DR. HEIDI LYN SICKAFOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2266 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-2620
(505) 323-2885
Mailing address
2266 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-2620
(505) 323-2885
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
00007999
NM
Other
Enumeration date
07/10/2013
Last updated
03/14/2016
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