Individual
ELISSA DYKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 NATURES RIDGE CIR SE, HUNTSVILLE, AL 35803-3843
(203) 343-5448
Mailing address
1 NATURES RIDGE CIR SE, HUNTSVILLE, AL 35803-3843
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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