Individual
KELLY MCHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
205 E STATE ST, REDLANDS, CA 92373-5232
(909) 793-1078
Mailing address
25614 STATE ST, LOMA LINDA, CA 92354-2444
(909) 793-1078
(909) 335-7330
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
575773
CA
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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