Provider Demographics
NPI:1780285155
Name:GILES-DICKS, DIONNE L
Entity type:Individual
Prefix:
First Name:DIONNE
Middle Name:L
Last Name:GILES-DICKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 ALLISON ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-2213
Mailing Address - Country:US
Mailing Address - Phone:202-487-9242
Mailing Address - Fax:
Practice Address - Street 1:610 ALLISON ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-2213
Practice Address - Country:US
Practice Address - Phone:202-487-9242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide