Individual
KANIKA TASHOUN HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 CONGRESS ST SE APT 5, WASHINGTON, DC 20032-5073
(202) 706-4607
Mailing address
1330 CONGRESS ST SE APT 5, WASHINGTON, DC 20032-5073
(202) 706-4607
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
09/07/2012
Last updated
09/10/2012
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