Individual
TAMMY DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3211 KNEIRIM DR, LORAIN, OH 44053-2210
(440) 654-6046
Mailing address
3211 KNEIRIM DR, LORAIN, OH 44053-2210
(440) 654-6046
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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