Individual
KATHLEEN DIEDALIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST/CSFA
Contact information
Practice address
893 MENDES CT, COLUMBUS, OH 43235-3506
(614) 824-5200
(888) 329-6432
Mailing address
893 MENDES CT, COLUMBUS, OH 43235-3506
(614) 824-5200
(888) 329-6432
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
OH
Other
Enumeration date
02/26/2007
Last updated
12/10/2014
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