DEVON M HICKS

SAN BERNARDINO, CA
NPI1700097516
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  RW0767)
Additional Taxonomies164W00000X Licensed Practical Nurse
(Licence: CA  VN246830)
Enumeration Date2007-05-24
Last Update Date2010-06-29
Business Address
-- DEVON M HICKS
423 MACKAY DR
SAN BERNARDINO, CA 92408-3230
Phone number: 909-383-1073
Mailing Address
-- DEVON M HICKS
423 MACKAY DR
SAN BERNARDINO, CA 92408-3230
Phone number: 909-383-1073