DAVE WALTER DICKINSON II
Individual Provider (NPI-1)
Active
Registered Nurse, Hospice
Provider Information
- NPI Number
1548818586- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 18293 PLUM RD, CALDWELL, ID, 836078961
- Phone
- (801) 692-3208
Specialties & Taxonomies
Registered Nurse, Hospice
Primary License: ID #43731