Individual
DR. DIAMOND MONE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1515 W PETTIGREW ST, DURHAM, NC 27705-4821
(919) 286-0751
Mailing address
1515 W PETTIGREW ST, DURHAM, NC 27705-4821
(919) 286-0751
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P23816
NC
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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