Individual
SHAKINDA DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
433 TINKER DIAGONAL ST APT 133, OKLAHOMA CITY, OK 73129-8256
(405) 609-7556
Mailing address
433 TINKER DIAGONAL ST APT 133, OKLAHOMA CITY, OK 73129-8256
(405) 609-7556
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
37V810340717
OK
376K00000X
Nurse's Aide
37V1080340717
OK
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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