Individual
ADELLE KELLEHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4140 COLDSTREAM TER, TARZANA, CA 91356-5412
(858) 717-5515
Mailing address
4140 COLDSTREAM TER, TARZANA, CA 91356-5412
(858) 717-5515
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
002737939
CA
Other
Enumeration date
07/20/2024
Last updated
07/20/2024
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