KELLY DIETZEN

GLENDALE, CA
NPI1760787121
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy176B00000X Midwife
(Licence: CA  257)
Enumeration Date2011-01-17
Last Update Date2011-01-17
Business Address
-- KELLY DIETZEN LM
1327 CAMPBELL ST
GLENDALE, CA 91207-1446
Phone number: 323-240-4024
Mailing Address
-- KELLY DIETZEN LM
1327 CAMPBELL ST
GLENDALE, CA 91207-1446
Phone number: 323-240-4024