Individual
AYANNA DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4840 A ST, PHILADELPHIA, PA 19120-3941
(267) 584-8026
Mailing address
4840 A ST, PHILADELPHIA, PA 19120-3941
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/02/2021
Last updated
01/02/2021
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