Individual
KISHA DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11843 FOREST PARK LN, VICTORVILLE, CA 92392-0428
(251) 463-7266
Mailing address
11843 FOREST PARK LN, VICTORVILLE, CA 92392-0428
(251) 463-7266
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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