Most Relevant Information
Provider Data
| NPI Number: | 1003569278 |
| Provider Name: | TAMMY S DIKE |
| Entity Type: | Individual |
| Taxonomy Code: | 372500000X |
| Specialty: | Chore Provider |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/28/2022 |
| Last Updated: | 01/28/2022 |
Provider Practice Location
1713 W 3RD ST
MC COOK
NE
690012122
Practice Location Phone/Fax
| Phone: | 3087370542 |
| Fax: |
Provider Mailing Location
PO BOX 393
MC COOK
NE
690010393
Provider Mailing Phone/Fax
| Phone: | 3087370542 |
| Fax: |