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Individual

JOYACELYN RYAN KELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12406 BERRY LAUREL LN, HOUSTON, TX 77014-3699
(832) 859-8268
Mailing address
12406 BERRY LAUREL LN, HOUSTON, TX 77014-3699
(832) 859-8268

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
TX

Other

Enumeration date
06/25/2024
Last updated
06/25/2024
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