Individual
AARON MATTHEW DIESTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNM
Contact information
Practice address
420 COBBLESTONE DR APT 109, FREDERICKSBURG, VA 22401-6675
(816) 308-3097
Mailing address
44045 RIVERSIDE PKWY, LEESBURG, VA 20176-5101
(703) 858-6000
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
0024179061
VA
Other
Enumeration date
03/06/2020
Last updated
03/26/2020
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