| NPI | 1942833132 |
|---|---|
| Professional Name | KELLY JO DIAZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MI 00000000000000) |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-02-17 |