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Individual

NIKKI SYTSMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1210 S LAMAR ST APT 1349, DALLAS, TX 75215-1053
(239) 823-1066
Mailing address
1210 S LAMAR ST APT 1349, DALLAS, TX 75215-1053

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5225650
FL

Other

Enumeration date
06/20/2018
Last updated
06/20/2018
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Product
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  • EDI platform