Individual
CHRISTINA MARY VANDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2250 SOQUEL AVE, SANTA CRUZ, CA 95062-1402
(831) 600-2801
Mailing address
2500 SOQUEL AVE, SANTA CRUZ, CA 95062-1405
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
365136
CA
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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