Individual
MR. RYAN SLADE DYKES SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1115 LEVEE RD., SAINT JOSEPH, LA 71366
(318) 766-1967
Mailing address
1115 LEVEE RD., SAINT JOSEPH, LA 71366
(318) 766-1967
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN 05009
LA
Other
Enumeration date
09/20/2006
Last updated
01/04/2011
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