MRS. Mytosha Monique Dickerson, CBS
NPI #1023742707 in Baton Rouge, Louisiana
Provider Information
- NPI Number
- 1023742707
- Entity Type
- Individual
- Name
- MRS. Mytosha Monique Dickerson, CBS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- In Home Supportive Care
- Credential
- CBS
- Enumeration Date
- Jul 10, 2022
- Last Updated
- Apr 30, 2024
Practice Location
- Address
- 9082 WINDING LAKE AVE
- City
- Baton Rouge
- State
- Louisiana
- ZIP Code
- 70810-0367
- Phone
- (504) 875-6174
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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