Individual
CHADWICK DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4587 HIALEAH DR, VIRGINIA BEACH, VA 23464-3220
(757) 285-9310
Mailing address
4587 HIALEAH DR, VIRGINIA BEACH, VA 23464-3220
(757) 285-9310
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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