Individual
JESSICA LEEANN DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.P.
Contact information
Practice address
820 S ATLANTIC AVE, DAYTONA BEACH, FL 32118-6404
(386) 243-0440
Mailing address
820 S ATLANTIC AVE, DAYTONA BEACH, FL 32118-6404
(386) 243-0440
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP 2856
FL
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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