Individual
CHANTAL DIETZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 N CUYAMACA ST STE 110, EL CAJON, CA 92020-1865
(619) 448-0420
(619) 448-0131
Mailing address
900 N CUYAMACA ST STE 110, EL CAJON, CA 92020-1865
(619) 448-0420
(619) 448-0131
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
03/26/2025
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