Individual
MISS LAUREN DYKEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3600 M ST, MERCED, CA 95348-2806
(209) 384-6275
Mailing address
3600 M ST, MERCED, CA 95348-2806
(209) 384-6275
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
01/12/2016
Last updated
02/11/2021
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