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Octavia Annessia Renee Hicks
Student in an Organized Health Care Education/Training Program in Teachey, North Carolina
NPI 1225795750

Octavia Annessia Renee Hicks is a Student in an Organized Health Care Education/Training Program based in Teachey, NC. Octavia Annessia Renee Hicks practices in Teachey, NC. The NPI Number for Octavia Annessia Renee Hicks is 1225795750 and holds a License No. (North Carolina).

The current practice location address for Octavia Annessia Renee Hicks is 124 Maple St, Teachey, NC and can be reached out via phone at 910-463-8880.

Location: 124 Maple St, Teachey, NC, 28464-9522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225795750
Provider Name
Octavia Annessia Renee Hicks
Credential
Provider Entity Type
Individual
Gender
Female
Address
124 Maple St, Teachey, NC, 28464-9522
Phone Number
910-463-8880
Fax Number
Provider Enumeration Date
11/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
124 Maple St
City
Teachey
State
North Carolina
Zip
28464-9522
Phone Number
910-463-8880
Fax Number
person
Provider Business Mailing Address Details
Address
124 Maple St
City
Teachey
State
North Carolina
Zip
28464-9522
Phone Number
910-463-8880
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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