Individual
MS. MARY KATHERINE DIETHRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R. N. C.D.E.
Contact information
Practice address
2070 SEVERN DR, RENO, NV 89503-2246
(775) 843-6529
Mailing address
2070 SEVERN DR, RENO, NV 89503-2246
(775) 843-6529
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN19458
NV
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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