Individual
KATIE MICHELLE HICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42603 MEADE CIR, TEMECULA, CA 92592-8188
(951) 216-8580
Mailing address
42603 MEADE CIR, TEMECULA, CA 92592-8188
(951) 216-8580
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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