JAMES DIECKMAN

MELBOURNE, FL
NPI1619250404
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  ARNP9330864)
Enumeration Date2011-09-28
Last Update Date2011-09-28
Business Address
-- JAMES DIECKMAN CRNA
1304 OAK ST
MELBOURNE, FL 32901-3111
Phone number: 321-723-4723
Mailing Address
-- JAMES DIECKMAN CRNA
1304 OAK ST
MELBOURNE, FL 32901-3111
Phone number: