Bonita G. Dietrich
NPI #1386734689 in Peoria, Illinois
Provider Information
- NPI Number
- 1386734689
- Entity Type
- Individual
- Name
- Bonita G. Dietrich
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Oct 15, 2006
- Last Updated
- Aug 5, 2009
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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