Individual
JACQUELYN DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
VET.0011954
CO
174400000X
Specialist
VET009427
GA
390200000X
Student in an Organized Health Care Education/Training Program
20420
CA
390200000X
Student in an Organized Health Care Education/Training Program
VET009427
GA
390200000X
Student in an Organized Health Care Education/Training Program
VM12720
FL
Other
Enumeration date
08/25/2016
Last updated
02/07/2023
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