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Heather Audra Wickham
Specialist in Plymouth, Massachusetts
NPI 1689275760

Heather Audra Wickham is a Specialist based in Plymouth, MA. Heather Audra Wickham practices in Plymouth, MA. The NPI Number for Heather Audra Wickham is 1689275760 and holds a License No. (Massachusetts).

The current practice location address for Heather Audra Wickham is 19 Lukes Way, Plymouth, MA and can be reached out via phone at 781-467-9000.

Location: 19 Lukes Way, Plymouth, MA, 02360-4717
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689275760
Provider Name
Heather Audra Wickham
Credential
Provider Entity Type
Individual
Gender
Female
Address
19 Lukes Way, Plymouth, MA, 02360-4717
Phone Number
781-467-9000
Fax Number
Provider Enumeration Date
11/04/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19 Lukes Way
City
Plymouth
State
Massachusetts
Zip
02360-4717
Phone Number
781-467-9000
Fax Number
person
Provider Business Mailing Address Details
Address
19 Lukes Way
City
Plymouth
State
Massachusetts
Zip
02360-4717
Phone Number
781-467-9000
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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