Individual
SHELBY DIETRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1362 CLAYTON ST APT 202, DENVER, CO 80206-2463
(720) 934-7241
Mailing address
1362 CLAYTON ST APT 202, DENVER, CO 80206-2463
(720) 934-7241
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
191016
CO
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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