Individual
MS. ALYSON JOY DYKSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
901 N PORTER, NORMAN, OK 73071
(405) 407-7771
Mailing address
901 N PORTER AVE, NORMAN, OK 73071-6404
(405) 407-7771
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1704
OK
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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