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Individual

CALVIN DYKSTRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
44447 10TH ST W, LANCASTER, CA 93534-3324
(818) 996-1051
Mailing address
37850 SAN CARLOS WAY, PALMDALE, CA 93550-2433
(818) 497-1979

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-DFQSKX
CA

Other

Enumeration date
05/22/2026
Last updated
05/22/2026
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