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Brendan Riley Hicks
Student in an Organized Health Care Education/Training Program in Palisade, Colorado
NPI 1497327134

Brendan Riley Hicks is a Student in an Organized Health Care Education/Training Program based in Palisade, CO. Brendan Riley Hicks practices in Palisade, CO. The NPI Number for Brendan Riley Hicks is 1497327134 and holds a License No. (Colorado).

The current practice location address for Brendan Riley Hicks is 614 Moss Way, Palisade, CO and can be reached out via phone at 970-314-1117.

Location: 614 Moss Way, Palisade, CO, 81526-9238
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497327134
Provider Name
Brendan Riley Hicks
Credential
Provider Entity Type
Individual
Gender
Male
Address
614 Moss Way, Palisade, CO, 81526-9238
Phone Number
970-314-1117
Fax Number
Provider Enumeration Date
07/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
614 Moss Way
City
Palisade
State
Colorado
Zip
81526-9238
Phone Number
970-314-1117
Fax Number
person
Provider Business Mailing Address Details
Address
614 Moss Way
City
Palisade
State
Colorado
Zip
81526-9238
Phone Number
970-314-1117
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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