Individual
JANNA ALENE DICKENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1300 S 2ND ST STE 180, MINNEAPOLIS, MN 55454-5000
(858) 776-3503
Mailing address
1300 S 2ND ST STE 180, MINNEAPOLIS, MN 55454-5000
(858) 776-3503
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/07/2017
Last updated
07/21/2022
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