Mallory Hicks, LPN-MED IV CERTIFIED
NPI #1033759022 in Reynoldsburg, Ohio
Provider Information
- NPI Number
- 1033759022
- Entity Type
- Individual
- Name
- Mallory Hicks, LPN-MED IV CERTIFIED
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN-MED IV CERTIFIED
- Enumeration Date
- Jan 8, 2020
- Last Updated
- Jan 8, 2020
Practice Location
- Address
- 3306 BAYSPIRIT DR
- City
- Reynoldsburg
- State
- Ohio
- ZIP Code
- 43068-7086
- Phone
- (614) 330-1074
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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