Bobbi Jo Dietrich, CPht
Technician, Other in Minneapolis, MN. Individual provider (NPI-1).
NPI number1083969604
StatusActive
Last updated in NPPESJul 19, 2012
Details
- NPI
- 1083969604
- Entity type
- Individual (NPI-1)
- Name
- Miss Bobbi Jo Dietrich
- Credential
- CPht
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2012
- Last updated
- Jul 19, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | 10-09-214 | MN | Yes |
Practice location
1 Veterans DrMinneapolis, MN 55417-2309
Phone 612-725-2000
Mailing address
1 Veterans DrMinneapolis, MN 55417-2309
Phone 612-725-2000
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