Individual
MICHELLE HYKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 65TH AVE STE 3, GREELEY, CO 80634-7965
(970) 305-3141
Mailing address
1919 65TH AVE STE 3, GREELEY, CO 80634-7965
(970) 305-3141
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
0010682
CO
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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