Mary Hicken

NPI 1811168404 · on the registry since 2008

Practice

Address: 22455 Maple Ct
Suite 402
Hayward, CA 94541
Phone: (501) 582-0148
Fax: (510) 582-8460
Organisation at this address: Health Innovations, Lp
Greater East Bay Endoscopy Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-01-22

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