Individual
STACI L SPIKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
7223 MISSISSIPPI AVE, FT POLK, LA 71459
(337) 531-2603
Mailing address
7223 MISSISSIPPI AVE, FT POLK, LA 71459
(337) 531-2603
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH25724
FL
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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