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Individual
KELLY BAHENA-ARELLANO
Active
Individual
KELLY BAHENA-ARELLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
290288
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568219855
KERN PHF
CA
Enumeration date
03/05/2025
Last updated
03/05/2025
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