BLAKK DIAMOND

LAWRENCEVILLE, GA
NPI1518572767
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: GA  MT011268)
Enumeration Date2020-09-14
Last Update Date2020-09-14
Business Address
BLAKK DIAMOND
405 PHILIP BLVD APT 1305
LAWRENCEVILLE, GA 30046-8749
Phone number: 706-403-7257
Mailing Address
BLAKK DIAMOND
405 PHILIP BLVD APT 1305
LAWRENCEVILLE, GA 30046-8749
Phone number: 706-403-7257
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