NPI 1619356698

Chelsea Nicole Hicks

Practitioner Other Technician Letart, WV

Practice location

Address: 3758 Supper Club Rd, Letart, WV 25253-8469
Phone: (304) 593-9518

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in West Virginia →

Registry record

NPI: 1619356698
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 May 2015
Record last updated: 24 May 2015

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.