MEDICARE: TEMIKA HICKS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1225851157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TEMIKA HICKS

Provider Business Mailing Address
First Line	:	2313 GOOD HOPE CT SE APT 201
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-3675
Country	:	US
Telephone Number	:	202-538-0044
Fax Number	:

Provider Business Practice Location Address
First Line	:	2317 GOOD HOPE CT SE APT 101
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-3680
Country	:	US
Telephone Number	:	202-254-4683
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2024
Last Update Date	:	11/07/2024

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Directions to “ TEMIKA HICKS ” Practice Location

Language	Start Address	Practice Location

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