Miss. Keilah Amaryllis Diaz
Miss. Keilah Amaryllis Diaz is an Other Specialist/Technologist in Bristol, Connecticut. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
42 Stafford Ave Apt B1Bristol, CT 06010-4610
Phone: (203) 952-9134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Specialist/Technologist (primary) | Taxonomy 246Z00000X |
|---|
Record details
| NPI number | 1184482085 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 6, 2024 |
| Last updated in NPPES | March 6, 2024 |
| Certification date | March 6, 2024 |