LESLIE A. DIETERICH

NEWARK, OH
NPI1417030701
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: OH  COA-02929-NP)
Enumeration Date2006-10-23
Last Update Date2014-02-25
Business Address
-- LESLIE A. DIETERICH CNP
399 E MAIN ST
NEWARK, OH 43055-6516
Phone number: 740-348-1840
Mailing Address
-- LESLIE A. DIETERICH CNP
399 E MAIN ST
NEWARK, OH 43055-6516
Phone number: 740-348-1840