MISS Chelsea Nicole Hicks

NPI #1619356698 in Letart, West Virginia

Provider Information

NPI Number: 1619356698
Entity Type: Individual
Name: MISS Chelsea Nicole Hicks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: May 24, 2015
Last Updated: May 24, 2015

Practice Location

Address: 3758 SUPPER CLUB RD
City: Letart
State: West Virginia
ZIP Code: 25253-8469
Phone: (304) 593-9518

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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