MICHELE RENEE DICKISON

LEWISTON, ID
NPI1841687001
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  NP-1551A)
Enumeration Date2015-04-24
Last Update Date2015-04-24
Business Address
Mrs. MICHELE RENEE DICKISON NP-C
1250 IDAHO ST
LEWISTON, ID 83501-1965
Phone number: 208-743-7427
Mailing Address
Mrs. MICHELE RENEE DICKISON NP-C
PO BOX 816 415 6TH ST
LEWISTON, ID 83501-0816
Phone number: 208-743-7427
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