Individual
EMMY-LOU OLIVIA DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A., MPH
Contact information
Practice address
501 W 7TH ST, FREDERICK, MD 21701-4586
(240) 215-6310
Mailing address
9905 MEDICAL CENTER DR STE 200, ROCKVILLE, MD 20850-6535
(301) 424-6231
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2182
SC
363A00000X
Physician Assistant
Primary
C07440
MD
Other
Enumeration date
10/07/2014
Last updated
11/21/2022
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