SHELBY DYKSTRA
Individual Provider (NPI-1)
Active
Dietitian, Registered
Provider Information
- NPI Number
1083449938- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 49780 EIDER DR, KENAI, AK, 996116470
- Phone
- (907) 953-4888
Specialties & Taxonomies
Dietitian, Registered
Primary
All Addresses
MAILING
PO BOX 718
KASILOF, AK, 996100718