Individual
CONNIE COLLEEN DIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
737 W CHILDS AVE, MERCED, CA 95341-6805
(209) 480-1832
(209) 385-5413
Mailing address
737 W CHILDS AVE, MERCED, CA 95341-6805
(209) 480-1832
(209) 385-5413
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
528713
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
528713
NURSING LICENSE
CA
Enumeration date
11/29/2007
Last updated
02/19/2008
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