Individual
DIAUDRA NEMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8960 PREAKNESS CIR, FORT WORTH, TX 76123-3582
(682) 553-0503
Mailing address
8960 PREAKNESS CIR, FORT WORTH, TX 76123-3582
(682) 553-0503
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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