Individual
MISS BOBBI JO DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
Mailing address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
10-09-214
MN
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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