Individual
ELISABETH DIEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 KIRVEN AVE, WAXAHACHIE, TX 75165-2403
(469) 537-5607
Mailing address
211 KIRVEN AVE, WAXAHACHIE, TX 75165-2403
(469) 537-5607
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
344814
TX
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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