Search › California › 363LA2100X
Jane Ellen Dietzel
NPI 1093303240 · on the registry since 2021 · sole proprietor
Practice
- Address
- 12766 N Overlook Dr
Rancho Cucamonga, CA 91739 - Phone
- (909) 702-8704
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-04
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 California