Diaz, Keilah Amaryllis

Diaz, Keilah Amaryllis is an sole proprietor health care provider with primary practice located at 42 Stafford Ave Apt B1 , Bristol CT 06010-4610. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, which is considered as her primary health care specialty. Diaz, Keilah Amaryllis can be contacted via phone (203) 952-9134.

Contact Information

Primary practice address
42 Stafford Ave Apt B1 Bristol CT 06010-4610
Phone: (203) 952-9134
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X

Profile Details

NPI number 1184482085
LBN Legal business name Diaz, Keilah Amaryllis
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2024
Last updated Mar 6th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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