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Individual

KELLI HUMPHREYS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
831 E ARROW HWY, POMONA, CA 91767-2535
(909) 398-4383
Mailing address
831 E ARROW HWY, POMONA, CA 91767-2535
(909) 398-4383

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
11/21/2022
Last updated
07/01/2025
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