| NPI | 1881278687 |
|---|---|
| Former Name | WAIDE ANTHONY HICKS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA60135) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2021-10-04 |