| NPI | 1518604990 |
|---|---|
| Doing Business As | DIAMONDS OF THE ROUGH 360 THERAPY |
| Entity Type | Organization |
| Authorized Contact | SHANNTELL HAMILTON CEO 443-554-8905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2022-05-17 |