LATRICIA DELORIS HICKENBOTTOM

MOBILE, AL
NPI1700343811
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: AL  1-134340)
Enumeration Date2019-02-25
Last Update Date2019-10-21
Business Address
LATRICIA DELORIS HICKENBOTTOM CRNP
1515 S UNIVERSITY BLVD
MOBILE, AL 36609-2958
Phone number: 251-343-9600
Mailing Address
LATRICIA DELORIS HICKENBOTTOM CRNP
3581 MEADOW LN E
MOBILE, AL 36618-3603
Phone number:
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