Provider Demographics
NPI:1003064007
Name:DYKES, BEATRIZ (RD)
Entity Type:Individual
Prefix:DR
First Name:BEATRIZ
Middle Name:
Last Name:DYKES
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:665 HITESHUE AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:OH
Mailing Address - Zip Code:45050-1566
Mailing Address - Country:US
Mailing Address - Phone:937-416-5949
Mailing Address - Fax:
Practice Address - Street 1:665 HITESHUE AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:OH
Practice Address - Zip Code:45050-1566
Practice Address - Country:US
Practice Address - Phone:937-416-5949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1453133NN1002X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education