Individual
DARA AMIRAH DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
484 NORTH AVE, APT 9, NEW ROCHELLE, NY 10801-3427
(347) 615-0236
Mailing address
484 NORTH AVE, APT 9, NEW ROCHELLE, NY 10801-3427
(347) 615-0236
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
291561-1
NY
Other
Enumeration date
03/16/2010
Last updated
03/16/2010
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