Individual
DIAMOND HARDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
512 NORTH ST, GLADEWATER, TX 75647-4220
(903) 619-1257
Mailing address
512 NORTH ST, GLADEWATER, TX 75647-4220
(903) 619-1257
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
339474
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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