Individual
DIANA GLIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 GORDON DR, SIOUX CITY, IA 51105-3708
(712) 234-1949
(712) 255-8087
Mailing address
3301 GORDON DR, SIOUX CITY, IA 51105-3708
(712) 234-1949
(712) 255-8087
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20559
IA
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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