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Warren Daichi Hickman
Independent Duty Corpsman in San Diego, California
NPI 1831780543

Warren Daichi Hickman is a Independent Duty Corpsman based in San Diego, CA and is specialized in Independent Duty Corpsman. Warren Daichi Hickman practices in San Diego, CA. The NPI Number for Warren Daichi Hickman is 1831780543 and holds a License No. (California).

The current practice location address for Warren Daichi Hickman is 34101 Fareholt Ave Building 14, San Diego, CA and can be reached out via phone at 619-532-7968.

Location: 34101 Fareholt Ave Building 14, San Diego, CA, 92139-1025
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831780543
Provider Name
Warren Daichi Hickman
Credential
Provider Entity Type
Individual
Gender
Male
Address
34101 Fareholt Ave Building 14, San Diego, CA, 92139-1025
Phone Number
619-532-7968
Fax Number
Provider Enumeration Date
01/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
34101 Fareholt Ave Building 14
City
San Diego
State
California
Zip
92134-0001
Phone Number
619-532-7968
Fax Number
person
Provider Business Mailing Address Details
Address
34101 Fareholt Ave Building 14
City
San Diego
State
California
Zip
92134-0001
Phone Number
619-532-7968
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
Independent Duty Corpsman
Taxonomy
1710I1002X
License No.
()
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
person
Provider's Taxonomy Details 2
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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