Individual
DIANNA BINGAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
509 BRENTFORD CT, KISSIMMEE, FL 34758-4119
(407) 219-6213
Mailing address
509 BRENTFORD CT, KISSIMMEE, FL 34758-4119
(407) 219-6213
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/15/2015
Last updated
03/15/2015
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