Individual
MARY ELIZABETH DIETSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3952 30TH ST, SAN DIEGO, CA 92104-3005
(619) 297-4145
(619) 297-0237
Mailing address
3952 30TH ST, SAN DIEGO, CA 92104-3005
(619) 297-4145
(619) 297-0237
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA8380
CA
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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