Individual
JULIE HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
630 N CEDAR ST, MASON, MI 48854-1017
(517) 676-8366
Mailing address
812 E JOLLY RD STE 311, LANSING, MI 48910-6821
(517) 346-8200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704229306
MI
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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