Individual
KELLY JO DIAZ
Active
Individual
KELLY JO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMA AAMA
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
00000000000000
MI
376K00000X
Nurse's Aide
Primary
—
MI
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
Update your record
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