JERE WAYNE DITTRICH

SOUTHBRIDGE, MA
NPI1700287562
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: MA  RN199369)
Enumeration Date2014-09-11
Last Update Date2014-09-11
Business Address
Mr. JERE WAYNE DITTRICH NP
100 SOUTH ST
SOUTHBRIDGE, MA 01550-4051
Phone number: 774-452-2006
Mailing Address
Mr. JERE WAYNE DITTRICH NP
100 SOUTH ST
SOUTHBRIDGE, MA 01550-4051
Phone number: 774-452-2006
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