Individual
FLORA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6325 DENNISON ST, SAN DIEGO, CA 92122-2401
(858) 583-6431
(858) 587-2802
Mailing address
6311 DENNISON ST, SAN DIEGO, CA 92122-2401
(858) 583-6431
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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