Individual
MARCIA BECKER DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RN CS
Contact information
Practice address
2613 W HENRIETTA RD, ROCHESTER, NY 14623-2327
(585) 279-4913
(585) 461-9504
Mailing address
122 BUCKLEY PLACE, HENRIETTA, NY 14467-9341
(585) 334-8823
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
284509-1
NY
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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