Individual
PAULA DIEDRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7421 64TH ST, GLENDALE, NY 11385-6130
(917) 929-5455
Mailing address
7421 64TH ST, GLENDALE, NY 11385-6130
(347) 656-3500
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
562444
NY
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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