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Diamond Derby

NPI 1598346496 · on the registry since 2021 · sole proprietor

Practice

Address
610 Uptown Blvd # 2ndf
Cedar Hill, TX 75104
Phone
(469) 607-0076

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-04-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas