Individual
RAIESHA AMYELA HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRT, HHA
Contact information
Practice address
2020 SAVANNAH PL SE, WASHINGTON, DC 20020
(202) 340-1357
Mailing address
3406 13TH PL SE APT 303, WASHINGTON, DC 20032-5031
(202) 340-1357
Taxonomy
Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
Primary
1452728
MD
374U00000X
Home Health Aide
1452728
MD
Other
Enumeration date
10/04/2012
Last updated
05/15/2018
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