Individual
SHIRILYN MONIQUE DYKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2063 CRENNAN LN STE C, HEARNE, TX 77859-2094
(979) 814-0420
(979) 279-9492
Mailing address
PO BOX 1011, HEARNE, TX 77859-1011
(979) 814-0420
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
1002219
TX
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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