Individual
HELEN DIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 E OAK ST, GLOBE, AZ 85501-2145
(480) 203-5862
Mailing address
14848 N 15TH DR, PHOENIX, AZ 85023-5181
(480) 203-5862
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
AL11076H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AL11076H
—
AZ
Enumeration date
04/18/2019
Last updated
04/18/2019
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