Individual
VICKIE DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 RUSH ST, NORFOLK, VA 23513-4424
(757) 202-8207
Mailing address
2501 RUSH ST, NORFOLK, VA 23513-4424
(757) 202-8207
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
1401163184
VA
Other
Enumeration date
05/31/2021
Last updated
05/31/2021
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