Provider Demographics
NPI:1285118109
Name:DICKS, CAYLA DELCHE
Entity type:Individual
Prefix:MISS
First Name:CAYLA
Middle Name:DELCHE
Last Name:DICKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 CONGRESS ST SE APT 5
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-5073
Mailing Address - Country:US
Mailing Address - Phone:301-357-3272
Mailing Address - Fax:
Practice Address - Street 1:1330 CONGRESS ST SE APT 5
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-5073
Practice Address - Country:US
Practice Address - Phone:202-808-9211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-17
Last Update Date:2018-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant