Jillian Diffenbaugh, LMBT, MBA
NPI #1295288215 in Fayetteville, North Carolina
Provider Information
- NPI Number
- 1295288215
- Entity Type
- Individual
- Name
- Jillian Diffenbaugh, LMBT, MBA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- LMBT, MBA
- Enumeration Date
- Jul 26, 2016
- Last Updated
- Jan 10, 2017
Practice Location
- Address
- 1019 HAY ST
- City
- Fayetteville
- State
- North Carolina
- ZIP Code
- 28305-5315
- Phone
- (717) 406-5020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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