Individual
ERIC LAVERNE DICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED, ATC
Contact information
Practice address
7500 CHAMINADE AVE, WEST HILLS, CA 91304-5384
(818) 347-8300
Mailing address
5400 YARMOUTH AVE, #111, ENCINO, CA 91316-2309
(818) 389-7089
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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