Individual
JANIS DICKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9524 CORREGIDOR DR, SAINT LOUIS, MO 63134-4024
(314) 651-9163
Mailing address
9524 CORREGIDOR DR, SAINT LOUIS, MO 63134-4024
(314) 651-9163
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
048634
MO
Other
Enumeration date
03/23/2014
Last updated
03/23/2014
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