Individual
MIKEA DICKENS-GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3461 22ND ST SE, WASHINGTON, DC 20020-6149
(202) 373-8895
Mailing address
3461 22ND ST SE, WASHINGTON, DC 20020-6149
(202) 373-8895
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA0000814127
DC
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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