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JENNIFER L DIETRICH MD
>> Anesthesiology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1871751628
Individual Registrant:
JENNIFER L DIETRICH MD
Gender: F
Not Sole Proprietor
Location and contact information for practice:
10 WOODLAND RD SAINT HELENA, CA 94574-9554 US
Tel: 707-963-3611 Fax: --
Contact information for business:
239 BRANNAN ST #12 G SAN FRANCISCO, CA 94107-2023 US
Tel: 405-613-2561 Fax: --
Registration Information:
NPI: 1871751628
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 207L00000X | Allopathic & Osteopathic Physicians Anesthesiology
| CA | A139371 |
Legacy codes, insurance codes and state license numbers:
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