Shauntun Dickerson

NPI #1134471279 in Milwaukee, Wisconsin

Provider Information

NPI Number
1134471279
Entity Type
Individual
Name
Shauntun Dickerson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Oct 14, 2012
Last Updated
Oct 14, 2012

Practice Location

Address
1418 N 27TH ST
ZIP Code
53208-2409
Phone
(414) 366-6269

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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