Individual
DANIELLE DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 LYTE RD, MILLERSVILLE, PA 17551
(717) 871-4636
Mailing address
PO BOX 1002, MILLERSVILLE, PA 17551-0302
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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