Individual
HEATHER DIERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34238 G TRAIL, EARLHAM, IA 50072
(515) 210-3471
Mailing address
34238 G TRAIL, EARLHAM, IA 50072
(515) 210-3471
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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