Individual
MRS. SHELBI DALE DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SST
Contact information
Practice address
11652 W GRAND RIVER AVE, LOWELL, MI 49331-8465
(616) 248-5166
Mailing address
315 N JACKSON ST, LOWELL, MI 49331-1425
(616) 844-8965
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6803088638
MI
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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