Kevin Diaz
NPI #1164822516 in Beverly, Massachusetts
Provider Information
- NPI Number
- 1164822516
- Entity Type
- Individual
- Name
- Kevin Diaz
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Sep 3, 2014
- Last Updated
- Sep 3, 2014
Practice Location
- Address
- 40 ENON ST
- City
- Beverly
- State
- Massachusetts
- ZIP Code
- 01915-1168
- Phone
- (978) 922-5996
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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