NPI 1497026512

Candace Lee Diercks

Practitioner Homemaker Waterloo, IA

Practice location

Address: 1844 W Ridgeway Ave, Waterloo, IA 50701-4546
Phone: (319) 235-5999

Registered specialties

Homemaker Primary

Nursing Service Related Providers Taxonomy 376J00000X

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Registry record

NPI: 1497026512
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jan 2012
Record last updated: 20 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.