Most Relevant Information
Provider Data
| NPI Number: | 1003453861 |
| Provider Name: | LADAWN HICKS |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/28/2019 |
| Last Updated: | 11/28/2019 |
Provider Practice Location
3530 RHAWN ST APT 2
PHILADELPHIA
PA
191362602
Practice Location Phone/Fax
| Phone: | 2679455390 |
| Fax: |
Provider Mailing Location
3530 RHAWN ST APT 2
PHILADELPHIA
PA
191362602
Provider Mailing Phone/Fax
| Phone: | 2679455390 |
| Fax: |