Most Relevant Information
Provider Data
| NPI Number: | 1003482225 |
| Provider Name: | DEBRA HICKS |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/28/2021 |
| Last Updated: | 05/28/2021 |
Provider Practice Location
1676 BELL CREEK RD
DIXIE
WV
250598010
Practice Location Phone/Fax
| Phone: | 3046320327 |
| Fax: |
Provider Mailing Location
1676 BELL CREEK RD
DIXIE
WV
250598010
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |