Jodie Diehl, REVEREND

NPI #1225586548 in Vestaburg, Michigan

Provider Information

NPI Number: 1225586548
Entity Type: Individual
Name: Jodie Diehl, REVEREND
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Credential: REVEREND
Enumeration Date: Sep 15, 2016
Last Updated: Sep 15, 2016

Practice Location

Address: 481 S BASS LAKE DR
City: Vestaburg
State: Michigan
ZIP Code: 48891-9428
Phone: (989) 330-6975

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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