Individual
AMY DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 COLLINS AVE, MANDAN, ND 58554-2066
(701) 663-5373
Mailing address
1200 COLLINS AVE, MANDAN, ND 58554-2066
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R33057
ND
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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