Tabitha Hickson

NPI #1275977449 in Roosevelt, New York

Provider Information

NPI Number
1275977449
Entity Type
Individual
Name
Tabitha Hickson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Apr 18, 2013
Last Updated
Apr 18, 2013

Practice Location

Address
149 ELMWOOD AVE
ZIP Code
11575-1807
Phone
(516) 379-0614

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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