Individual
PATIENCE MINA DIKIBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3230 WISCONSIN AVE STE A, JOPLIN, MO 64804-4073
(417) 347-7800
Mailing address
3001 HIGHGATE DR, SEAGOVILLE, TX 75159-1435
(214) 621-6164
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2022014837
MO
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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