Individual
ZENAIDA DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6696 HARE RUN LN, ARLINGTON, TN 38002-7907
(901) 451-0751
Mailing address
6696 HARE RUN LN, ARLINGTON, TN 38002-7907
(901) 451-0751
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0000050296
TN
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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