Kalieb Benjamin Hanicq Valid NPI
Individual provider · Homemaker · Defiance, OH
- NPI
- 1255191219
- Type
- Individual (Type 1)
- Primary specialty
- Homemaker
- Specialty group
- Nursing Service Related Providers
- Taxonomy code
- 376J00000X
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2024-03-19
- Last updated
- 2024-03-19
Practice location
534 Degler St Apt 32
Defiance, OH 43512-2552
(419) 771-7175