Individual provider · Type 1 NPI
Keilah Amaryllis Diaz
Other Specialist/Technologist · Bristol, CT
NPI number
1184482085
Active
Practice location
42 Stafford Ave Apt B1
Bristol, CT 06010-4610
Mailing address
74 East St
Plainville, CT 06062-2367
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Specialist/Technologist Primary | 246Z00000X | None listed |
Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
About NPI 1184482085
Keilah Amaryllis Diaz's National Provider Identifier is 1184482085, issued on Mar 6, 2024. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Bristol, CT. The record was last updated on Mar 6, 2024.