Individual
BEVERLEY KELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7240 BAY BRIDGE RD, EASTVALE, CA 92880-3412
(909) 227-6859
(951) 479-8199
Mailing address
7240 BAY BRIDGE RD, EASTVALE, CA 92880-3412
(909) 227-6859
(951) 479-8199
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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