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NPI Code Detail

MEDICARE: TOLEDA LENOR HICKS

MEDICARE: TOLEDA LENOR 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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1538580568
Entity Type Code : Individual
Provider Name (Legal Business Name) : TOLEDA LENOR HICKS
Provider Business Mailing Address
First Line : 1109 LEONARD AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-2429
Country : US
Telephone Number : 702-807-1855
Fax Number :
Provider Business Practice Location Address
First Line : 1109 LEONARD AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-2429
Country : US
Telephone Number : 702-807-1855
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2013
Last Update Date : 12/17/2013

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Directions to “ TOLEDA LENOR HICKS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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