ILLYA JOHNSON-HICKLEN

FORT DEFIANCE, AZ
NPI1912619701
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2278C0205X Respiratory Therapist, Certified Critical Care
(Licence: TX  RCP02003641)
Enumeration Date2022-12-23
Last Update Date2022-12-23
Business Address
MS. ILLYA JOHNSON-HICKLEN RCP
CORNER OF ROUTE N12 AND, ROUTE N7
FORT DEFIANCE, AZ 86504-0649
Phone number: 928-729-8000
Mailing Address
MS. ILLYA JOHNSON-HICKLEN RCP
PO BOX 649
FORT DEFIANCE, AZ 86504-0649
Phone number:
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