| Consuelo Maria Hicks, LPN | |
|
19211 Biltmore St, Detroit, MI 48235-2442 | |
| (734) 353-5224 | |
| Not Available |
| Full Name | Consuelo Maria Hicks |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 19211 Biltmore St, Detroit, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821787680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703089147 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Consuelo Maria Hicks, LPN 19211 Biltmore St, Detroit, MI 48235-2442 Ph: (734) 353-5224 | Consuelo Maria Hicks, LPN 19211 Biltmore St, Detroit, MI 48235-2442 Ph: (734) 353-5224 |
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