Individual
MS. JOSIE DICKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
39589 COUNTRY MILL RD, MURRIETA, CA 92562-3106
(716) 507-9549
Mailing address
39589 COUNTRY MILL RD, MURRIETA, CA 92562-3106
(716) 507-9549
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
01222307
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01222307
CALIFORNIA DEPARTMENT OF PUBLIC HEALTH
CA
Enumeration date
09/05/2022
Last updated
09/05/2022
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