JACI RAE DIETZ

KEARNEY, NE
NPI1063258788
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NE  3364)
Enumeration Date2024-07-02
Last Update Date2026-08-20
Business Address
JACI RAE DIETZ
816 22ND AVE STE 100
KEARNEY, NE 68845-2226
Phone number: 308-865-2263
Mailing Address
JACI RAE DIETZ
816 22ND AVE STE 100
KEARNEY, NE 68845-2226
Phone number: 308-865-2263