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Martell Hicks

NPI 1407453996 · on the registry since 2020

Practice

Address
1251 S Bunch St
Pahrump, NV 89048
Phone
(310) 703-3536

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Also registered as
372500000X
372600000X
3747A0650X
376J00000X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-07

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 Nevada