Individual
MICHELLE KAYLA DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
749 E 135TH ST, BRONX, NY 10454-3408
(718) 239-4147
Mailing address
140 RIVERSIDE BLVD APT 301, NEW YORK, NY 10069-0602
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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