KEVIN DIAZ

BEVERLY, MA
NPI1164822516
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: MA  4263)
Enumeration Date2014-09-03
Last Update Date2014-09-03
Business Address
-- KEVIN DIAZ
40 ENON ST
BEVERLY, MA 01915-1168
Phone number: 978-922-5996
Mailing Address
-- KEVIN DIAZ
40 ENON ST
BEVERLY, MA 01915-1168
Phone number: 978-922-5996