Individual
TESSA VIOLA DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7712 RANNELLS AVE, MAPLEWOOD, MO 63143-1806
(314) 537-3402
Mailing address
7712 RANNELLS AVE, MAPLEWOOD, MO 63143-1806
(314) 537-3402
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2025032558
MO
Other
Enumeration date
06/27/2023
Last updated
08/18/2025
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