Octavia Annessia Renee Hicks

NPI #1225795750 in Teachey, North Carolina

Provider Information

NPI Number: 1225795750
Entity Type: Individual
Name: Octavia Annessia Renee Hicks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Nov 18, 2021
Last Updated: Nov 18, 2021

Practice Location

Address: 124 MAPLE ST
City: Teachey
State: North Carolina
ZIP Code: 28464-9522
Phone: (910) 463-8880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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