Individual
JENNIFER DENISE DICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2345 GOLDEN ASTER ST, CLERMONT, FL 34711-6359
(407) 421-7324
Mailing address
2345 GOLDEN ASTER ST, CLERMONT, FL 34711-6359
(407) 421-7324
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
05/18/2020
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