Individual
MS. AMY JEAN DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
26 BEACH AVE, AUBURN, NY 13021-2112
(315) 255-4630
Mailing address
26 BEACH AVE, AUBURN, NY 13021-2112
(315) 255-4630
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
223846-1
NY
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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