Individual
MS. DIYAH DU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1856 N NOB HILL RD, # 317, PLANTATION, FL 33322-6548
(954) 444-2659
Mailing address
1856 N NOB HILL RD, # 317, PLANTATION, FL 33322-6548
(954) 444-2659
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA29514
FL
Other
Enumeration date
11/26/2012
Last updated
07/10/2016
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