Individual
KELLY LAYNE DYCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15460 RYAN WESLEY ST, EL PASO, TX 79938-9019
(915) 539-3963
Mailing address
15460 RYAN WESLEY ST, EL PASO, TX 79938-9019
(915) 539-3963
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1096898
TX
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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