Individual
KEEIA DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY ROAD, PLYMOUTH MEETING, PA 19462
(610) 834-1122
Mailing address
4154 GRAHAM AVE., INDAINAPOLIS, IN 46226
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
78-01-05-04400
IN
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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