Individual
DIAMOND FORBES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3840 5TH AVE N, ST PETERSBURG, FL 33713-7521
(727) 367-2273
Mailing address
3840 5TH AVE N, ST PETERSBURG, FL 33713-7521
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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