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Individual

MS. KELLY T. SALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.-C.

Contact information

Practice address
3230 WARING CT STE J, OCEANSIDE, CA 92056-4509
(760) 941-4498
(760) 941-6938
Mailing address
477 N EL CAMINO REAL STE A306, ENCINITAS, CA 92024-1350
(609) 420-1187
(760) 942-5319

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 19297
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA 19297
STATE LICENSE NUMBER
CA
Enumeration date
07/30/2007
Last updated
10/08/2024
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