Soheila Dickerson
NPI #1386896157 in Wallingford, Connecticut
Provider Information
- NPI Number
- 1386896157
- Entity Type
- Individual
- Name
- Soheila Dickerson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 10, 2008
- Last Updated
- Oct 10, 2008
Practice Location
- Address
- 318 E MAIN ST
- City
- Wallingford
- State
- Connecticut
- ZIP Code
- 06492-2549
- Phone
- (203) 494-3936
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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| Sv Opco LLC | |
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