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Chanel Hicks

NPI 1063271021 · on the registry since 2024

Practice

Address
1601 Gayle Ter
Fredericksburg, VA 22401
Phone
(248) 761-4416

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-03-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia