Carol Lee Ickes
NPI #1356806863 in Bedford, Pennsylvania
Provider Information
- NPI Number
- 1356806863
- Entity Type
- Individual
- Name
- Carol Lee Ickes
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Feb 8, 2019
- Last Updated
- Feb 8, 2019
Practice Location
- Address
- 1243 SHED RD
- City
- Bedford
- State
- Pennsylvania
- ZIP Code
- 15522-8584
- Phone
- (814) 623-5166
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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