David Dickson
Technician, Personal Care Attendant in New Haven, MI. Individual provider (NPI-1).
NPI number1720138043
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720138043
- Entity type
- Individual (NPI-1)
- Name
- David Dickson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 11, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
31950 Clark StApt 1
New Haven, MI 48048-1934
Phone 810-388-1200
Mailing address
35150 Potter St.Memphis, MI 48041
Phone 810-388-1200
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