NPI 1114049624

Marla Karel Hicks, LMCPM

Practitioner Midwife San Diego, CA

Practice location

Address: 4135 54th Pl, San Diego, CA 92105-2303
Phone: (619) 825-5590
Fax: (619) 741-7053
Mailing address: 8030 La Mesa Blvd # 143, La Mesa, CA 91941-6435

Registered specialties (3)

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence LM 155 (CA)

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Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X Licence 292568 (CA)

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Homeopath

Other Service Providers Taxonomy 175L00000X

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Registry record

NPI: 1114049624
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Apr 2007
Record last updated: 14 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.