DAVID ALAN DIETRICK

NEW HAVEN, CT
NPI1922492974
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CT  004178)
Enumeration Date2015-03-26
Last Update Date2019-09-30
Business Address
Mr. DAVID ALAN DIETRICK APRN
184 LIBERTY ST
NEW HAVEN, CT 06519-1625
Phone number: 203-688-9791
Mailing Address
Mr. DAVID ALAN DIETRICK APRN
1304 WEST ST
GUILFORD, CT 06437-1075
Phone number: 034-571-9662
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