Individual
TRACY LEIGH DIEDERICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4228 VIA PIEDRA CIR, SARASOTA, FL 34233-1479
(941) 321-3218
Mailing address
4228 VIA PIEDRA CIR, SARASOTA, FL 34233-1479
(941) 321-3218
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
CNA423923
FL
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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