Individual
DAWN STACKHOUSE DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, IBCLC, RLC, CD
Contact information
Practice address
11137 CAMINITO INOCENTA, SAN DIEGO, CA 92126-6109
(858) 218-6455
Mailing address
11137 CAMINITO INOCENTA, SAN DIEGO, CA 92126-6109
(858) 218-6455
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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