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Autumn Michelle Dickerson
Student in an Organized Health Care Education/Training Program in Bryan, Texas
NPI 1962262907

Autumn Michelle Dickerson is a Student in an Organized Health Care Education/Training Program based in Bryan, TX. Autumn Michelle Dickerson practices in Bryan, TX. The NPI Number for Autumn Michelle Dickerson is 1962262907 and holds a License No. (Texas).

The current practice location address for Autumn Michelle Dickerson is 2900 E 29Th St Ste 100, Bryan, TX and can be reached out via phone at 979-436-0488.

Location: 2900 E 29Th St Ste 100, Bryan, TX, 77802-2623
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962262907
Provider Name
Autumn Michelle Dickerson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2900 E 29Th St Ste 100, Bryan, TX, 77802-2623
Phone Number
979-436-0488
Fax Number
Provider Enumeration Date
03/19/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2900 E 29Th St Ste 100
City
Bryan
State
Texas
Zip
77802-2623
Phone Number
979-436-0488
Fax Number
person
Provider Business Mailing Address Details
Address
2900 E 29Th St Ste 100
City
Bryan
State
Texas
Zip
77802-2623
Phone Number
979-436-0488
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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