Individual
CHESTER DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DOM
Contact information
Practice address
1350 JACKIE RD SE, SUITE 102, RIO RANCHO, NM 87124-1519
(505) 896-6965
(505) 217-3791
Mailing address
5903 ASPEN AVE NE, ALBUQUERQUE, NM 87110-5217
(512) 550-8535
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1106
NM
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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