Individual
JENNIFER LYNN DIETSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1452 VANDERLYN CT, FAIRBORN, OH 45324-8531
(937) 371-5876
Mailing address
1452 VANDERLYN CT, FAIRBORN, OH 45324-8531
(937) 371-5876
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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