Individual
MRS. RETA JOYCE DIEDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
119 4TH ST., SANDSTONE, MN 55072
(320) 245-5362
Mailing address
606 POWER AVE S, P.O. BOX 684, HINCKLEY, MN 55037-9366
(320) 384-6039
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R059996-4
MN
Other
Enumeration date
01/10/2008
Last updated
01/10/2008
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