MISS Exurepha Bashawn Hicks, C.N.A.

NPI #1023379310 in Pensacola, Florida

Provider Information

NPI Number: 1023379310
Entity Type: Individual
Name: MISS Exurepha Bashawn Hicks, C.N.A.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Credential: C.N.A.
Enumeration Date: Jun 3, 2012
Last Updated: Jun 3, 2012

Practice Location

Address: 4214 IDLEWOOD DR
City: Pensacola
State: Florida
ZIP Code: 32506-5825
Phone: (850) 341-0361

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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