Individual
ELVIS DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(860) 632-3235
Mailing address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(860) 632-3235
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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