Individual
DIANE C KEBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
138 DOMINIC BRUNO BLVD, CANASTOTA, NY 13032-3528
(315) 697-5700
Mailing address
138 DOMINIC BRUNO BLVD, CANASTOTA, NY 13032-3528
(315) 697-5700
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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