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Individual

NASTISSSHA DENISE DICKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RMA

Contact information

Practice address
1531 PAYNE ST, APT# 3, TALLAHASSEE, FL 32303-5787
(850) 345-5430
Mailing address
1531 PAYNE ST, APT# 3, TALLAHASSEE, FL 32303-5787
(850) 345-5430

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary

Other

Enumeration date
06/19/2013
Last updated
06/19/2013
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