Organization
DIAMOND CHIROPRACTIC LLC
Active
Other names
Diamond Sport & Spine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL BAKOMENKO D.C. (CO-OWNER)
(302) 300-4242
Entity
Organization
Contact information
Practice address
1426 N CLAYTON ST, WILMINGTON, DE 19806-4006
(302) 300-4242
(302) 300-4241
Mailing address
1426 N CLAYTON ST, WILMINGTON, DE 19806-4006
(302) 300-4242
(302) 300-4241
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
F1-0000833
DE
Other
Enumeration date
01/24/2013
Last updated
06/26/2013
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