Individual
DIANE MARIE WICHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2445 S HWY 27, CLERMONT, FL 34711-6876
(352) 404-7817
Mailing address
1 WELLNESS BLVD STE 108, IRMO, SC 29063-2872
(803) 765-1919
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
—
—
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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