Individual
MS. CALETHA DICKS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4316
Mailing address
3555 BAINBRIDGE AVE, APT 6C, BRONX, NY 10467-1453
(718) 881-1195
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
32122
NY
Other
Enumeration date
06/14/2005
Last updated
07/08/2007
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