Individual
SARAH DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3684 CUSTER AVE, SOUTH OGDEN, UT 84403-2124
(801) 644-1779
Mailing address
3684 CUSTER AVE, SOUTH OGDEN, UT 84403-2124
(801) 644-1779
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7989254-4405
UT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/16/2021
Last updated
06/13/2023
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