Dickerson, Serene

Dickerson, Serene is an sole proprietor health care provider with primary practice located at 431 Mackay Dr , San Bernardino CA 92408-3222. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Dickerson, Serene can be contacted via phone (909) 433-9300.

Contact Information

Primary practice address
431 Mackay Dr San Bernardino CA 92408-3222
Phone: (909) 433-9300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1578881504
LBN Legal business name Dickerson, Serene
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2010
Last updated Jun 20th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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