Individual
MR. LANCE WOLFE DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4700 NORTHGATE BLVD, SACRAMENTO, CA 95834-1128
(916) 923-4442
Mailing address
1913 BELCOT RD, SACRAMENTO, CA 95825-1106
(916) 979-9877
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6627
CA
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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