Individual
KEISHA PAOLA DIAZ NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 970-6678
Mailing address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 970-6687
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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