Individual
BEVERLY DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9898 OAKWOOD DR, TWINSBURG, OH 44087-1252
(216) 299-3536
Mailing address
6290 SPARROWHAWK WAY, BEDFORD, OH 44146-3164
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2206302
—
OH
Enumeration date
12/19/2006
Last updated
07/09/2007
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