Individual
MS. CHRISTINE ANN DIEKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
613 OAKWOOD AVE, SAINT LOUIS, MO 63119-2624
(314) 963-7901
Mailing address
613 OAKWOOD AVE, SAINT LOUIS, MO 63119-2624
(314) 963-7901
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
005157
MO
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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