BRYAN RUSSELL DIETERICH

BURNSVILLE, NC
NPI1588782908
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2007-03-26
Last Update Date2010-10-05
Business Address
Mr. BRYAN RUSSELL DIETERICH
70 CC ALLEN RD
BURNSVILLE, NC 28714-6875
Phone number: 828-989-6004
Mailing Address
Mr. BRYAN RUSSELL DIETERICH
70 CC ALLEN RD
BURNSVILLE, NC 28714-6875
Phone number: 828-989-6004