MARY NICOLE LILLIAN DIEMERT

SANTA MARIA, CA
NPI1265056170
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  60009)
Enumeration Date2020-06-05
Last Update Date2023-11-08
Business Address
MARY NICOLE LILLIAN DIEMERT
2342 PROFESSIONAL PKWY STE 200
SANTA MARIA, CA 93455-1690
Phone number: 805-349-9545
Mailing Address
MARY NICOLE LILLIAN DIEMERT
2342 PROFESSIONAL PKWY STE 200
SANTA MARIA, CA 93455-1690
Phone number: 805-349-9545