Ken Dietz

NPI #1033777990 in Meridian, Idaho

Provider Information

NPI Number
1033777990
Entity Type
Individual
Name
Ken Dietz
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacy Technician
Enumeration Date
Jun 4, 2019
Last Updated
Jun 4, 2019

Practice Location

Address
20 E FAIRVIEW AVE
State
Idaho
ZIP Code
83642-1732
Phone
(208) 888-4414

Specialties & Taxonomy Codes

Specialty
Pharmacy Technician

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