Autumn Michelle Dickerson

NPI #1962262907 in Bryan, Texas

Provider Information

NPI Number: 1962262907
Entity Type: Individual
Name: Autumn Michelle Dickerson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 19, 2024
Last Updated: Mar 19, 2024

Practice Location

Address: 2900 E 29TH ST STE 100
City: Bryan
State: Texas
ZIP Code: 77802-2623
Phone: (979) 436-0488

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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