MS. Nicole C Diamond, LMP

NPI #1922393289 in Lacey, Washington

Provider Information

NPI Number: 1922393289
Entity Type: Individual
Name: MS. Nicole C Diamond, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Jun 15, 2011
Last Updated: Jun 15, 2011

Practice Location

Address: 4609 LACEY BLVD SE
Address 2: #B
City: Lacey
State: Washington
ZIP Code: 98503-5720
Phone: (360) 413-7941

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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