Individual
JOSEPH ROBERT DIETZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
17 RIDGEWAY RD, STAFFORD, VA 22556-3439
(540) 699-9720
Mailing address
17 RIDGEWAY RD, STAFFORD, VA 22556-3439
(540) 699-9720
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001273387
VA
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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