Individual
KRISTI MARIE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
704 EDWARDS AVE, CUYAHOGA FALLS, OH 44221-5116
(330) 999-0688
Mailing address
704 EDWARDS AVE, CUYAHOGA FALLS, OH 44221-5116
(330) 999-0688
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
320985720517
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0364650
—
OH
Enumeration date
10/24/2019
Last updated
10/24/2019
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