Individual
SYDELLE DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2141 OREGON PIKE, LANCASTER, PA 17601-4604
(717) 617-2706
Mailing address
1634 HAWTHORNE LN, CHAMBERSBURG, PA 17202-9077
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN092779L
PA
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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