MRS. Candace Lee Diercks

NPI #1497026512 in Waterloo, Iowa

Provider Information

NPI Number: 1497026512
Entity Type: Individual
Name: MRS. Candace Lee Diercks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Homemaker
Enumeration Date: Jan 20, 2012
Last Updated: Jan 20, 2012

Practice Location

Address: 1844 W RIDGEWAY AVE
City: Waterloo
State: Iowa
ZIP Code: 50701-4546
Phone: (319) 235-5999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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