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Individual
MISS KELSEY ANN PANARRA
Active
Individual
MISS KELSEY ANN PANARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
292707
CA
2084P0800X
Psychiatry Physician
292707
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292707
—
CA
Enumeration date
03/12/2021
Last updated
03/26/2021
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