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Individual

BRITTANY DIETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2600 W CENTRE AVE, PORTAGE, MI 49024-4828
(269) 324-4141
(269) 324-2020
Mailing address
2600 W CENTRE AVE, PORTAGE, MI 49024-4828
(269) 324-6229
(269) 324-2020

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
4704302267
MI

Other

Enumeration date
11/15/2021
Last updated
11/15/2021
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