NPI 1184482085

Keilah Amaryllis Diaz

Practitioner Other Specialist/Technologist Bristol, CT

Practice location

Address: 42 Stafford Ave APT B1, Bristol, CT 06010-4610
Phone: (203) 952-9134
Mailing address: 74 East St, Plainville, CT 06062-2367

Registered specialties

Other Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X

Other Specialist/Technologist, Other providers in Connecticut →

Registry record

NPI: 1184482085
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Mar 2024
Record last updated: 6 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.