LANCE WOLFE DIAMOND

SACRAMENTO, CA
NPI1528077898
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  6627)
Enumeration Date2006-08-05
Last Update Date2007-07-08
Business Address
MR. LANCE WOLFE DIAMOND PTA
4700 NORTHGATE BLVD
SACRAMENTO, CA 95834-1128
Phone number: 916-923-4442
Mailing Address
MR. LANCE WOLFE DIAMOND PTA
1913 BELCOT RD
SACRAMENTO, CA 95825-1106
Phone number: 916-979-9877