Tahlia Jo Dierkes

NPI #1750019873 in Sauk Rapids, Minnesota

Provider Information

NPI Number: 1750019873
Entity Type: Individual
Name: Tahlia Jo Dierkes
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 9, 2022
Last Updated: Aug 9, 2022

Practice Location

Address: 1424 2ND ST N
City: Sauk Rapids
State: Minnesota
ZIP Code: 56379-2533
Phone: (651) 313-8080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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