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Individual

MS. KELLEY ERIN WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
2790 ATLANTIC AVE, LONG BEACH, CA 90806-2755
(562) 933-0432
Mailing address
19462 POMPANO LN UNIT 101, HUNTINGTON BEACH, CA 92648-6422
(714) 477-3863

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
484758
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
10251
CA
364SP0200X
Pediatric Clinical Nurse Specialist
10251
CA

Other

Enumeration date
06/03/2013
Last updated
10/18/2015
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