Individual
KELLIE J BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(909) 353-2000
Mailing address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(909) 353-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP9746
CA
Other
Enumeration date
01/08/2007
Last updated
11/30/2021
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