Individual
DIAMOND WHITFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 MARIE AVE, DAYTON, OH 45405-3211
(937) 305-5213
Mailing address
21 MARIE AVE, DAYTON, OH 45405-3211
(937) 305-5213
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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