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Eloisa B Dietrich
Psychiatric/Mental Health Nurse Practitioner in San Marcos, California
NPI 1134512288

Eloisa B Dietrich is a Psychiatric/Mental Health Nurse Practitioner based in Sacramento, CA and is specialized in Psychiatric/Mental Health. Eloisa B Dietrich practices in San Marcos, CA. The NPI Number for Eloisa B Dietrich is 1134512288 and holds a License No. 95001871 (California).

The current practice location address for Eloisa B Dietrich is 277 Rancheros Dr Ste 301, San Marcos, CA and can be reached out via phone at 760-471-4073 and via fax at 760-471-4078.

Location: 277 Rancheros Dr Ste 301, San Marcos, CA, 95834-1954
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134512288
Provider Name
Eloisa B Dietrich
Credential
Provider Entity Type
Individual
Gender
Female
Address
277 Rancheros Dr Ste 301, San Marcos, CA, 95834-1954
Phone Number
760-471-4073
Fax Number
760-471-4078
Provider Enumeration Date
03/13/2015
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
277 Rancheros Dr Ste 301
City
San Marcos
State
California
Zip
92069-2993
Phone Number
760-471-4073
Fax Number
760-471-4078
person
Provider Business Mailing Address Details
Address
277 Rancheros Dr Ste 301
City
San Marcos
State
California
Zip
92069-2993
Phone Number
760-471-4073
Fax Number
760-471-4078
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
363LFOOOOX (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
95001871 (California)
Definition
Definition to come...
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