Kalieb Benjamin Hanicq

NPI #1255191219 in Defiance, Ohio

Provider Information

NPI Number: 1255191219
Entity Type: Individual
Name: Kalieb Benjamin Hanicq
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Mar 19, 2024
Last Updated: Mar 19, 2024

Practice Location

Address: 534 DEGLER ST APT 32
City: Defiance
State: Ohio
ZIP Code: 43512-2552
Phone: (419) 771-7175

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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