Individual
ELIZABETH LESLIE DIMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
261 SIERRA DR, EAGLE POINT, OR 97524-7702
(239) 770-4960
Mailing address
261 SIERRA DR, EAGLE POINT, OR 97524-7702
(239) 770-4960
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201043008RN
OR
Other
Enumeration date
02/23/2013
Last updated
02/23/2013
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