Search › Arizona › 2278C0205X
Illya Johnson-Hicklen, RCP
NPI 1912619701 · on the registry since 2022
Practice
- Address
- Corner Of Route N12 And, Route N7
Fort Defiance, AZ 86504 - Phone
- (928) 729-8000
Registry record
- Primary taxonomy
- 2278C0205X
2278C0205X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-12-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona