RUBI A HICKSON

SANTA ROSA, CA
NPI1043595788
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  NP95003075)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: MA  2275882)
Enumeration Date2011-10-13
Last Update Date2015-11-04
Business Address
-- RUBI A HICKSON NP
1165 MONTGOMERY DR
SANTA ROSA, CA 95405-4801
Phone number: 707-547-5437
Mailing Address
-- RUBI A HICKSON NP
1165 MONTGOMERY DR
SANTA ROSA, CA 95405-4801
Phone number: 707-547-5437