Individual
BARBARA EVETTE DICKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
17111 MAPLE HEIGHTS BLVD, MAPLE HEIGHTS, OH 44137-2650
(216) 712-8902
Mailing address
17111 MAPLE HEIGHTS BLVD, MAPLE HEIGHTS, OH 44137-2650
(216) 712-8902
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN112921
OH
Other
Enumeration date
11/05/2009
Last updated
11/16/2009
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