BRYANT MICHAEL DIETRICK

SHAMOKIN DAM, PA
NPI1477127710
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2021-05-19
Last Update Date2021-05-19
Business Address
BRYANT MICHAEL DIETRICK
45 US-11
SHAMOKIN DAM, PA 17876
Phone number: 570-802-3099
Mailing Address
BRYANT MICHAEL DIETRICK
1233 HERMAN RD
SELINSGROVE, PA 17870-8509
Phone number: 570-651-6268
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