Individual
KELLY FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3303 M ST, MERCED, CA 95348-2714
(209) 726-3410
(209) 726-3371
Mailing address
DEPT LA 23779, PASADENA, CA 91185-3779
(866) 317-3801
(512) 583-2001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95002387
CA
Other
Enumeration date
05/19/2015
Last updated
10/07/2019
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