Individual
SANDRA ADOBEA DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 ATLANTIC ST SW, WASHINGTON, DC 20032
(202) 407-7747
Mailing address
8504 16TH ST APT 503, SILVER SPRING, MD 20910-5913
(973) 342-6072
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R221919
MD
363LF0000X
Family Nurse Practitioner
Primary
RN1030200
DC
Other
Enumeration date
11/09/2018
Last updated
11/29/2018
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