Individual
HERLEEN K KAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1191 E YOSEMITE AVE, SUITE B, MANTECA, CA 95336-5011
(209) 823-8158
(209) 823-6186
Mailing address
1191 E YOSEMITE AVE, SUITE B, MANTECA, CA 95336-5011
(209) 823-8158
(209) 823-6186
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A42917
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A429170
—
CA
Enumeration date
03/29/2006
Last updated
04/22/2011
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