SHAWNA RENE HICKEL

ANCHORAGE, AK
NPI1770846131
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AK  6516)
Enumeration Date2012-06-20
Last Update Date2014-01-17
Business Address
-- SHAWNA RENE HICKEL
1201 E 36TH AVE
ANCHORAGE, AK 99508-4372
Phone number: 907-562-9229
Mailing Address
-- SHAWNA RENE HICKEL
PO BOX 196276
ANCHORAGE, AK 99519-6276
Phone number: 907-212-6522