Individual
MRS. MARY B DICKENS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
18460 ROSCOE BLVD, NORTHRIDGE, CA 91325-4107
(818) 734-3620
Mailing address
959 WESTBLUFF PL, SIMI VALLEY, CA 93065-4021
(808) 306-1699
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
424528
CA
Other
Enumeration date
09/30/2005
Last updated
07/08/2007
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