Laurae Hicks

NPI 1780079475 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1780079475
Gender Female
Enumeration Date 03/31/2015
Last Updated 10/02/2015
Entity Type Individual
Active Over 2 years ago
Practice Location
2160 S 1ST AVE
ROOM 7609
MAYWOOD IL, 60153-3328, US
Phone (708) 216-8757
Fax (708) 216-1259
Business Location
2160 S 1ST AVE
MAYWOOD IL, 60153-3328, US
Phone (708) 216-5620
Taxonomy Code 390200000X
License State
License Number
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According to our database, Laurae Hicks NPI is 1780079475, taxonomy code is 390200000X Laurae Hicks physically located at 2160 S 1st Ave, Maywood IL, 60153-3328. NPI Number Laurae Hicks has the Individual type.

1780079475 NPI number is provided on an as is basis without warranty of any kind. 1780079475 is maintained by the National Plan & Provider Enumeration System. The contents of Laurae Hicks are for informational purposes only.