Individual
DEANNE DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25733 RYE CANYON RD, VALENCIA, CA 91355-1135
(866) 944-6046
Mailing address
5080 SPECTRUM DR STE 1200W, ADDISON, TX 75001-4624
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
397978
OH
163W00000X
Registered Nurse
95067001
CA
163W00000X
Registered Nurse
R238938
MD
163W00000X
Registered Nurse
Primary
R48116
ND
163W00000X
Registered Nurse
RN9373263
FL
Other
Enumeration date
08/28/2019
Last updated
10/08/2019
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