Courtney Nicole Diffin

NPI #1245622844 in Birch Run, Michigan

Provider Information

NPI Number: 1245622844
Entity Type: Individual
Name: Courtney Nicole Diffin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Feb 19, 2015
Last Updated: Feb 19, 2015

Practice Location

Address: 6305 BIRCH RUN RD
City: Birch Run
State: Michigan
ZIP Code: 48415-8594
Phone: (989) 751-9085

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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