Carissa Kohana Dykes

NPI #1457128829 in Santa Paula, California

Provider Information

NPI Number: 1457128829
Entity Type: Individual
Name: Carissa Kohana Dykes
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Dec 6, 2023
Last Updated: Dec 6, 2023

Practice Location

Address: 811 W TELEGRAPH RD
City: Santa Paula
State: California
ZIP Code: 93060-5400
Phone: (805) 265-4894

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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