Individual
BRENDEN KYLE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
260 CAMPBELL BLVD, GETZVILLE, NY 14068-1500
(716) 428-1229
Mailing address
260 CAMPBELL BLVD, GETZVILLE, NY 14068-1500
(716) 428-1229
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/10/2018
Last updated
06/10/2018
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