Individual
DIAMOND LAVACHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1097 KYLE ST, MEMPHIS, TN 38114-1806
(662) 570-8469
Mailing address
1097 KYLE ST, MEMPHIS, TN 38114-1806
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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