Individual
KEULEYA BLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 S PARK AVE STE 850, POMONA, CA 91766-1559
(909) 417-4174
Mailing address
300 S PARK AVE STE 850, POMONA, CA 91766-1559
(909) 417-4174
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
10/14/2025
Last updated
10/16/2025
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