Individual provider · Type 1 NPI

Dwaun Hicks

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1740973528 Active

Practice location

1731 E 120th St
Los Angeles, CA 90059-3051

Mailing address

5406 White Pearl Ln
Memphis, TN 38109-6365

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1740973528

Dwaun Hicks's National Provider Identifier is 1740973528, issued on May 30, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on May 30, 2023.