Individual
DIAMOND R SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
8200 E JACQUE DR, PRESCOTT VALLEY, AZ 86314-6172
(928) 277-8715
Mailing address
2894 N YEIBITCHAI RD, PRESCOTT, AZ 86305-3996
(928) 848-6286
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24760
AZ
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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