Individual
MR. DANIIL DYCHOK SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8744 TONDELLA WAY, FAIR OAKS, CA 95628-3925
(913) 414-6219
Mailing address
101 CREEKSIDE RIDGE CT, ROSEVILLE, CA 95678-3595
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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