Individual provider · Type 1 NPI

Jill Maureen Dietiker, PHN

Community Health Registered Nurse · Sonora, CA

NPI number 1639447162 Active

Practice location

20111 Cedar Rd N
Sonora, CA 95370-5939

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse Primary 163WC1500XRN358410 (CA)

Community Health Registered Nurse: Definition to come...

9 other providers at this address

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About NPI 1639447162

Jill Maureen Dietiker, PHN's National Provider Identifier is 1639447162, issued on Dec 12, 2011. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Sonora, CA. The record was last updated on Dec 12, 2011.