Deandre Dickerson
Deandre Dickerson is a Peer Specialist in Gardena, California. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
15519 Crenshaw BlvdGardena, CA 90249-4525
Phone: (310) 679-2730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1013641059 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 14, 2022 |
| Last updated in NPPES | July 14, 2022 |
| Certification date | July 14, 2022 |
| Mailing address | 15519 Crenshaw Blvd, Gardena, CA 90249-4525 |
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