Search › Georgia › 101YA0400X
Kristen Dietert, CRC
NPI 1023644465 · on the registry since 2020 · sole proprietor
Practice
- Address
- 927 Hunting Horn Way W
Evans, GA 30809 - Phone
- (585) 474-6278
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia