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Individual

DINAH PICKETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2640 HOLLYWOOD BLVD STE 101, HOLLYWOOD, FL 33020-4830
(954) 505-7957
(954) 744-7408
Mailing address
2640 HOLLYWOOD BLVD STE 101, HOLLYWOOD, FL 33020-4830
(954) 505-7957
(954) 744-7408

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
299994233
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P230-170-61-509-0
HOME CARE
FL
Enumeration date
07/17/2020
Last updated
07/17/2020
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