Individual
BRITTANY DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
862 W RUSK ST, ROCKWALL, TX 75087-3421
(972) 412-3034
Mailing address
1800 RANCH RD, ROYSE CITY, TX 75189-8560
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1130811
TX
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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