JACOB WAYNE HICKSON

WASHINGTON, DC
NPI1609453497
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner Acute Care
(Licence: DC  RN1036244)
Enumeration Date2021-03-26
Last Update Date2021-03-26
Business Address
JACOB WAYNE HICKSON
2112 NEW HAMPSHIRE AVE NW APT 1007
WASHINGTON, DC 20009-6530
Phone number: 601-422-9537
Mailing Address
JACOB WAYNE HICKSON
2112 NEW HAMPSHIRE AVE NW APT 1007
WASHINGTON, DC 20009-6530
Phone number:
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