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Individual
KELLY WONG MCGRATH
Active
Individual
KELLY WONG MCGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, NP, RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
824969
CA
176B00000X
Midwife
Primary
236080
CA
363LA2200X
Adult Health Nurse Practitioner
95001388
CA
Other
Enumeration date
03/22/2017
Last updated
08/16/2023
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