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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KISHA DIXON

Active Sole Proprietor

KISHA DIXON is a In Home Supportive Care Agency healthcare provider located in VICTORVILLE, California. NPI 1811659253 is currently active in the NPPES registry. Verify at CMS.

In Home Supportive Care Agency · VICTORVILLE, CA

Registration Details

NPI Number
1811659253
Provider Type
Individual
Gender
Female
NPI Issued
Oct 13, 2021 (4.8717215034657 yrs)
Last Updated
Oct 13, 2021
Sole Proprietor
Yes

Practice Information

Address
11843 FOREST PARK LN
VICTORVILLE, CA, 923920428
Browse CA providers · Browse ZIP 92392
Phone
2514637266
Primary Specialty
In Home Supportive Care Agency
253Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.