Individual
CAROLE M DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
344 WASSOU RD, CRYSTAL BAY, NV 89402
(775) 832-5242
Mailing address
P.O.BOX 278, CRYSTAL BAY, NV 89402
(775) 832-5242
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G254-01
CA
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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