Individual
WYKETA DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5984 ALMA ST, HOUMA, LA 70364-1969
(985) 360-1972
Mailing address
5984 ALMA ST, HOUMA, LA 70364-1969
(985) 360-1972
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
1744P3200X
Prosthetics Case Management
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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