Individual
MRS. CINDY HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
922 SE DAMASK AVE, PORT SAINT LUCIE, FL 34983-4013
(772) 475-4358
Mailing address
922 SE DAMASK AVE, PORT SAINT LUCIE, FL 34983-4013
(772) 475-4358
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FL
—
FL
Enumeration date
08/21/2019
Last updated
08/21/2019
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