ADRIENE ALISA HICKERSON

LOUISVILLE, KY
NPI1710538681
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747A0650X Technician Attendant Care Provider
Enumeration Date2019-09-23
Last Update Date2019-09-23
Business Address
ADRIENE ALISA HICKERSON
301 AXIS DR APT 207
LOUISVILLE, KY 40206-0127
Phone number: 502-365-0698
Mailing Address
ADRIENE ALISA HICKERSON
301 AXIS DR APT 207
LOUISVILLE, KY 40206-0127
Phone number: 502-365-0698