Individual
LESLEY MARIE DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
265 S ANITA DR STE 201, ORANGE, CA 92868-3346
(310) 945-3350
(310) 945-3356
Mailing address
9808 VENICE BLVD STE 700, CULVER CITY, CA 90232-6824
(310) 945-3350
(310) 945-3356
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95123557
CA
Other
Enumeration date
04/28/2021
Last updated
02/29/2024
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