Individual
SOHEILA DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
318 E MAIN ST, WALLINGFORD, CT 06492-2549
(203) 494-3936
Mailing address
318 E MAIN ST, WALLINGFORD, CT 06492-2549
(203) 494-3936
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
000146
CT
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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