Organization
SANTA LUCIA BIRTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY LEE DIETRICH ND, LM (OWNER/PRESIDENT)
(805) 548-0606
Entity
Organization
Contact information
Practice address
4251 S HIGUERA ST, SUITE 300, SAN LUIS OBISPO, CA 93401-7700
(805) 548-0606
Mailing address
4251 S HIGUERA ST, SUITE 300, SAN LUIS OBISPO, CA 93401-7700
(805) 548-0606
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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