Most Relevant Information
Provider Data
| NPI Number: | 1003063702 |
| Provider Name: | DELORIA DIXON |
| Entity Type: | Individual |
| Taxonomy Code: | 376K00000X |
| Specialty: | Nurse's Aide |
| License Number: | NC10045852 |
Most Important Dates
| Enumeration Date: | 08/25/2008 |
| Last Updated: | 08/25/2008 |
Provider Practice Location
3580 PACIFIC AVE
TACOMA
WA
984187915
Practice Location Phone/Fax
| Phone: | 2537984500 |
| Fax: | 2537984493 |
Provider Mailing Location
3580 PACIFIC AVE
TACOMA
WA
984187915
Provider Mailing Phone/Fax
| Phone: | 2537984500 |
| Fax: | 2537984493 |