Individual
DIAMOND GUSTAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
(985) 713-1419
(225) 929-9740
Mailing address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
(985) 713-1419
(225) 929-9740
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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