Individual
CELIA M DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN, NO. 307099-031
Contact information
Practice address
2124 ORRIE LN, GREEN BAY, WI 54304-4345
(920) 530-2147
Mailing address
1002 LEE AVE, DE PERE, WI 54115-1133
(920) 986-1586
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307099-031
WI
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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