Individual
STELLA DIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
11765 NW 12TH ST, PEMBROKE PINES, FL 33026-4357
(954) 826-7286
Mailing address
11765 NW 12TH ST, PEMBROKE PINES, FL 33026-4357
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9437343
FL
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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