CECILIA JO HICKAM

EAGLE, ID
NPI1376940668
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: ID  DH-0356-EA)
Enumeration Date2014-12-02
Last Update Date2014-12-02
Business Address
Mrs. CECILIA JO HICKAM RDH-EA, OMT
1121 E. STATE STREET SUITE - 102-D
EAGLE, ID 83616
Phone number: 208-584-9060
Mailing Address
Mrs. CECILIA JO HICKAM RDH-EA, OMT
1121 E. STATE STREET SUITE 102-D
EAGLE, ID 83616
Phone number: 208-584-9060