Individual
MARVIN LEON DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4031 COLBY AVE, COLUMBUS, OH 43227-2051
(614) 557-7826
Mailing address
4031 COLBY AVE, COLUMBUS, OH 43227-2051
(614) 557-7826
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/12/2020
Last updated
12/09/2020
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