SearchIllinois225100000X

Victoria Diefenderfer

NPI 1881008415 · on the registry since 2014 · sole proprietor

Practice

Address
461 Dogwood Ln
Dekalb, IL 60115
Phone
(815) 878-1632

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-06-11

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 Illinois