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Jeffrey Hickman, IDC
NPI 1467703868 · on the registry since 2012
Practice
- Address
- 3475 Senn Rd Bldg 91
San Diego, CA 92136 - Phone
- (619) 556-0488
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Independent Duty Corpsman
1710I1002X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-01-24
- Status
- Not present in the most recent federal file
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 California