Individual
JEREMY DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5995 WILLIAMSVILLE RD, MILFORD, DE 19963-6314
(302) 503-2580
Mailing address
5995 WILLIAMSVILLE RD, MILFORD, DE 19963-6314
(302) 503-2580
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-0004366
DE
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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