Individual
MISS DANIELLE DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5782 ANDREWS RD, #C-105, MENTOR ON THE LAKE, OH 44060-2670
(216) 256-0273
Mailing address
5782 ANDREWS RD, #C-105, MENTOR ON THE LAKE, OH 44060-2670
(216) 256-0273
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN314787
OH
Other
Enumeration date
10/28/2010
Last updated
09/13/2012
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