WANDA F HICKS

CROSSETT, AR
NPI1750537387
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AR  L28915)
Enumeration Date2008-08-14
Last Update Date2009-02-05
Business Address
-- WANDA F HICKS LPN
1308 WEST 5TH AVE
CROSSETT, AR 71635
Phone number: 870-364-6471
Mailing Address
-- WANDA F HICKS LPN
1308 W 5TH AVE
CROSSETT, AR 71635-2500
Phone number: 870-364-6471