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1114701307
SHANIQUA HICKS
VIRGINIA BEACH, VA
NPI
1114701307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024186095)
Enumeration Date
2023-08-21
Last Update Date
2024-10-18
Business Address
SHANIQUA HICKS
1368 N GREAT NECK RD
VIRGINIA BEACH, VA 23454-2230
Phone number: 757-412-0006
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Mailing Address
SHANIQUA HICKS
2609 MARTHA KAYE DR APT 201
VIRGINIA BEACH, VA 23456-7020
Phone number: 757-810-5717
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