Individual
BREANA DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD,DO,
Contact information
Practice address
2760 S EAST ST APT 103, INDIANAPOLIS, IN 46225-2276
(317) 986-1260
Mailing address
2760 S EAST ST APT 103, INDIANAPOLIS, IN 46225-2276
(317) 986-1260
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
CNA2002094
IN
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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