Individual
SHELBY DYKSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49780 EIDER DR, KENAI, AK 99611-6470
(907) 953-4888
Mailing address
PO BOX 718, KASILOF, AK 99610-0718
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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