Individual
DANETTE S DYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
303 OFFNERE ST, PORTSMOUTH, OH 45662-4655
(740) 876-9369
Mailing address
303 OFFNERE ST, PORTSMOUTH, OH 45662-4655
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN360339
OH
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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