Organization
DICKERSON SOLUTION
Active
Organization
DICKERSON SOLUTION
Active
Other names
PF Elite
Organization subpart
No
Provider details
NPI number
Authorized official
DIONYSOS DICKERSON RT (CEO)
(707) 740-3893
Entity
Organization
Contact information
Practice address
3490 RENNER DR, FORTUNA, CA 95540-3105
(707) 740-3893
Mailing address
3490 RENNER DR, FORTUNA, CA 95540-3105
(707) 740-3893
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
2278P1006X
Pulmonary Function Technologist Certified Respiratory Therapist
—
—
2279P1004X
Pulmonary Diagnostics Registered Respiratory Therapist
Primary
—
—
2279P1005X
Pulmonary Rehabilitation Registered Respiratory Therapist
—
—
2279P1006X
Pulmonary Function Technologist Registered Respiratory Therapist
—
—
2279P4000X
Patient Transport Registered Respiratory Therapist
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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