Individual
MARIE ALICE DICKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
262 SOUTH 9TH STREET, ELEMENTARY SCHOOL BUILDING, FORT SUMNER, NM 88119
(575) 355-7766
(575) 355-6002
Mailing address
765 EAST SUMNER AVENUE, ELEMENTARY SCHOOL BUILDING, FORT SUMNER, NM 88119-9316
(575) 355-7766
(575) 355-6002
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R28287
NM
Other
Enumeration date
11/28/2017
Last updated
12/01/2017
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