Heather Wicker

NPI #1801512512 in Fairborn, Ohio

Provider Information

NPI Number: 1801512512
Entity Type: Individual
Name: Heather Wicker
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 13, 2022
Last Updated: Oct 13, 2022

Practice Location

Address: 1010 STONEYBROOK TRL
City: Fairborn
State: Ohio
ZIP Code: 45324-6024
Phone: (847) 857-9826

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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