Individual
MS. RENEE MARIE DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
80 LAWRENCE BELL DR, SUITE 115, WILLIAMSVILLE, NY 14221-7074
(716) 204-0355
Mailing address
13 LUCILLE DR, CHEEKTOWAGA, NY 14225-2243
(716) 631-0230
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
22488229
NY
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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