Individual
AILIKA DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3362 WAGGONER WAY, REX, GA 30273-5217
(316) 806-4139
Mailing address
3362 WAGGONER WAY, REX, GA 30273-5217
(316) 806-4139
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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