Individual
MS. MICHELLE RAE KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED PEER
Contact information
Practice address
3230 KERNER BLVD, SAN RAFAEL, CA 94901-4840
(415) 368-5221
Mailing address
173 BOLLING CIR, NOVATO, CA 94949-4531
(415) 368-5221
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-GRYDIW
CA
Other
Enumeration date
10/20/2006
Last updated
07/27/2023
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