RAINA DIEDRICK

FORT LAUDERDALE, FL
NPI1073895132
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9107904)
Additional Taxonomies363A00000X Physician Assistant
(Licence: FL  000000000)
Enumeration Date2011-09-15
Last Update Date2020-06-10
Business Address
RAINA DIEDRICK Physician Assistant
1995 E OAKLAND PARK BLVD STE 310
FORT LAUDERDALE, FL 33306-1138
Phone number: 954-791-6146
Mailing Address
RAINA DIEDRICK Physician Assistant
1995 E OAKLAND PARK BLVD STE 310
FORT LAUDERDALE, FL 33306-1138
Phone number: