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Laschae Dickerson

Driver in Gretna, VA. Individual provider (NPI-1).

NPI number1639695877
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1639695877
Entity type
Individual (NPI-1)
Name
Laschae Dickerson
Sex
Female
Sole proprietor
No
Enumeration date
Aug 18, 2017
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172A00000X Driver––Yes

Practice location

192 Discovery Rd
Gretna, VA 24557-4717

Phone 434-728-2083

Mailing address

192 Discovery Rd
Gretna, VA 24557-4717

Phone 434-728-2083

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All 9 Driver providers in Gretna · All 71 providers in Gretna

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