Individual
JORDAN DIELMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
6000 UNIVERSITY AVE, SUITE 250, WEST DES MOINES, IA 50266-8203
(515) 221-1102
(515) 221-1272
Mailing address
6000 UNIVERSITY AVE, SUITE 250, WEST DES MOINES, IA 50266-8203
(515) 221-1102
(515) 221-1272
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
074474
IA
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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