Joseph Robert Dietz JR., REGISTERED NURSE

NPI #1063036028 in Stafford, Virginia

Provider Information

NPI Number: 1063036028
Entity Type: Individual
Name: Joseph Robert Dietz JR., REGISTERED NURSE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Credential: REGISTERED NURSE
Enumeration Date: Jun 4, 2020
Last Updated: Jun 4, 2020

Practice Location

Address: 17 RIDGEWAY RD
City: Stafford
State: Virginia
ZIP Code: 22556-3439
Phone: (540) 699-9720

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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