Cecilia Hickam, RDH-EA, OMT

NPI 1376940668 · on the registry since 2014

Practice

Address: 1121 E. State Street
Suite - 102-D
Eagle, ID 83616
Phone: (208) 584-9060
Organisation at this address: Treasure Valley Aba Inc.
Cornerstone Caregiving West Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Dental Hygienist
124Q00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-12-02

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 Idaho