Lashunda Shantel Hickerson

NPI #1366942021 in Fresno, Texas

Provider Information

NPI Number: 1366942021
Entity Type: Individual
Name: Lashunda Shantel Hickerson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Enumeration Date: Feb 19, 2018
Last Updated: Feb 19, 2018

Practice Location

Address: 4438 KIRK MANOR CT
City: Fresno
State: Texas
ZIP Code: 77545-6054
Phone: (713) 582-9747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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