Individual
MEENA KUMARI DIETERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
105 NORTH AVE APT 1, BURLINGTON, VT 05401-2909
(917) 912-0516
Mailing address
89 N CHAMPLAIN ST APT B, BURLINGTON, VT 05401-4319
(917) 912-0516
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
107.0129930
VT
Other
Enumeration date
11/25/2024
Last updated
09/23/2025
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