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Search › Louisiana › 171M00000X

Tyiana Dickerson

NPI 1295182194 · on the registry since 2016 · sole proprietor

Practice

Address
3018 Old Minden Rd Ste 1117
Bossier City, LA 71112
Phone
(318) 746-1935
Organisation at this address
Certicare,Inc.
Certicare, Inc.
Melosa Foundation
Lionel Guillaume Inc
Heather Kleckinger Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
196

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
251S00000X
Sex
Female
Record last updated
2019-05-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana