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Miss Keilah Amaryllis Diaz
Other Specialist/Technologist in Bristol, Connecticut
NPI 1184482085

Keilah Amaryllis Diaz is a Other Specialist/Technologist based in Plainville, CT. Keilah Amaryllis Diaz practices in Bristol, CT. The NPI Number for Keilah Amaryllis Diaz is 1184482085 and holds a License No. (Connecticut).

The current practice location address for Keilah Amaryllis Diaz is 42 Stafford Ave Apt B1, Bristol, CT and can be reached out via phone at 203-952-9134.

Location: 42 Stafford Ave Apt B1, Bristol, CT, 06062-2367
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184482085
Provider Name
Keilah Amaryllis Diaz
Credential
Provider Entity Type
Individual
Gender
Female
Address
42 Stafford Ave Apt B1, Bristol, CT, 06062-2367
Phone Number
203-952-9134
Fax Number
Provider Enumeration Date
03/06/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
42 Stafford Ave Apt B1
City
Bristol
State
Connecticut
Zip
06010-4610
Phone Number
203-952-9134
Fax Number
person
Provider Business Mailing Address Details
Address
42 Stafford Ave Apt B1
City
Bristol
State
Connecticut
Zip
06010-4610
Phone Number
203-952-9134
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
246Z00000X
License No.
()
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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