LARRY CHARLES HICKS

MODESTO, CA
NPI1568453801
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant Surgical
Enumeration Date2005-11-04
Last Update Date2013-01-11
Business Address
LARRY CHARLES HICKS PA
1441 FLORIDA
MODESTO, CA 95352
Phone number: 209-576-3999
Mailing Address
LARRY CHARLES HICKS PA
4301 NORTHSTAR WAY
MODESTO, CA 95356-9262
Phone number: 209-342-2300
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