Individual
CAROLE E. DEITRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3330 GEARY BLVD, 2 WEST, INSTITUTE ON AGING ASSESSMENT SERVICES, SAN FRANCISCO, CA 94118-3347
(415) 750-4111
(415) 750-5341
Mailing address
194 SUSSEX ST, SAN FRANCISCO, CA 94131-2935
(415) 476-1069
(415) 476-8899
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
176113
CA
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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