Individual
DIONYSOS DURAND DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPFT
Contact information
Practice address
3490 RENNER DR, FORTUNA, CA 95540-3105
(740) 740-3893
Mailing address
21081 TEEPEE RD, APPLE VALLEY, CA 92307-8318
(740) 740-3893
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
137535
—
2279P1004X
Pulmonary Diagnostics Registered Respiratory Therapist
Primary
—
—
2279P1005X
Pulmonary Rehabilitation Registered Respiratory Therapist
—
—
2279P1006X
Pulmonary Function Technologist Registered Respiratory Therapist
—
—
Other
Enumeration date
11/15/2021
Last updated
04/11/2022
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