Shane C Hicks, IDC
Shane C Hicks, IDC is an Independent Duty Corpsman in FPO, Armed Forces Pacific. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address may be wrong
Uss Kentucky (ssbn 737)(BLUE)FPO, AP 96698-2126
Phone: (360) 315-4204
Fax: (360) 396-4247
No coordinates on file. Search this address in Google Maps
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1467550616 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | No |
| NPI enumerated | September 20, 2006 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | Uss Kentucky (Ssbn 737)(Blue), Fpo, AP 96698-2126 |
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