JONATHAN DIETZ

SAN RAFAEL, CA
NPI1366566499
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207QA0505X Family Medicine, Adult Medicine
(Licence: CA  20A7626)
Enumeration Date2007-03-16
Last Update Date2007-07-08
Business Address
Dr. JONATHAN DIETZ D.O.
540 D ST 2
SAN RAFAEL, CA 94901-3867
Phone number: 415-459-7416
Mailing Address
Dr. JONATHAN DIETZ D.O.
540 D ST 2
SAN RAFAEL, CA 94901-3867
Phone number: 415-459-7416
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