Organization
DIAMOND VENOM ARTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEZARAY PURNELL (OWNER / MANAGER)
(804) 938-1200
Entity
Organization
Contact information
Practice address
3089 HULL ST, RICHMOND, VA 23224-3575
(804) 938-1200
Mailing address
3089 HULL ST, RICHMOND, VA 23224-3575
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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