Tanishia C Hicks, LPN

NPI #1821416132 in Kenmore, New York

Provider Information

NPI Number
1821416132
Entity Type
Individual
Name
Tanishia C Hicks, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Apr 3, 2014
Last Updated
Apr 3, 2014

Practice Location

Address
552 ENGLEWOOD AVE
ZIP Code
14223-2704
Phone
(716) 777-2776

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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