Individual
MS. DEBRA E DIEMAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 TRUXTON AVE, FORT WALTON BEACH, FL 32547-2460
(850) 863-1530
Mailing address
1415 SOUND RETREAT DR, NAVARRE, FL 32566-7414
(850) 939-8896
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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