Individual
RENEE DIEKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 MAIN AVE W, WEST FARGO, ND 58078-1725
(701) 499-1022
Mailing address
207 MAIN AVE W, WEST FARGO, ND 58078-1725
(701) 499-1022
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R19512
ND
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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