Individual
HAYLEY DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1650 CROOKED OAK DR STE 200, LANCASTER, PA 17601-4278
(717) 569-3279
Mailing address
277 W LINCOLN HWY UNIT 405, EXTON, PA 19341-2658
(610) 451-1634
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA061145
PA
Other
Enumeration date
10/15/2019
Last updated
09/15/2022
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