Individual
DIONA RONAE WIKUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
643 W EAST AVE, CHICO, CA 95926-7201
(530) 892-9127
Mailing address
643 W EAST AVE, CHICO, CA 95926-7201
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
15797
CA
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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