Sarah Louise Dickerson
Student in an Organized Health Care Education/Training Program in San Diego, CA. Individual provider (NPI-1).
NPI number1073404992
StatusActive
Last updated in NPPESAug 6, 2026
Details
- NPI
- 1073404992
- Entity type
- Individual (NPI-1)
- Name
- Sarah Louise Dickerson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2025
- Certification date
- Aug 6, 2026
- Last updated
- Aug 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
3900 Lomaland DrSan Diego, CA 92106-2810
Phone 619-849-2200
Mailing address
18704 Cable LnPerris, CA 92570-8161
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