Individual
KELLIE MATTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1305 N MARTIN AVE, TUCSON, AZ 85721-0001
(520) 626-6154
Mailing address
6795 E CALLE LA PAZ UNIT 11102, TUCSON, AZ 85715-9042
(619) 942-2868
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95283362
CA
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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