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Individual

DIAMOND SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12203 OLD WALTERS RD APT 1038, HOUSTON, TX 77014-2895
(832) 618-7248
Mailing address
12203 OLD WALTERS RD APT 1038, HOUSTON, TX 77014-2895
(832) 618-7248

Taxonomy

Speciality
Code
Description
License number
State
231HA2500X
Assistive Technology Supplier Audiologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0
I HAVE A ONLINE SCOOTER STORE, TRYING TO BE USE FOR INSURANCE CLAIMS
Enumeration date
01/03/2018
Last updated
01/03/2018
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