Individual
MS. HELEN MARIE DIETRICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
7500 SECURITY BLVD, N3-22-07, BALTIMORE, MD 21244-1849
(410) 786-7448
Mailing address
9089 LAMBSKIN LN, COLUMBIA, MD 21045-2940
(410) 992-1839
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
R052441
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R052441
REGISTERED NURSE LICENSE
MD
Enumeration date
07/07/2005
Last updated
07/08/2007
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