SHAUNA HICKEM

COLUMBIA, MO
NPI1114359247
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: MO  2013019513)
Enumeration Date2013-07-31
Last Update Date2013-11-05
Business Address
-- SHAUNA HICKEM RN
201 N GARTH AVE
COLUMBIA, MO 65203-4105
Phone number: 573-449-3953
Mailing Address
-- SHAUNA HICKEM RN
201 N GARTH AVE
COLUMBIA, MO 65203-4105
Phone number: