Individual
KELLY OUELLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
27740 JEFFERSON AVE, 1ST FLOOR, TEMECULA, CA 92590
(951) 252-8833
(951) 489-0494
Mailing address
27740 JEFFERSON AVE, 1ST FLOOR, TEMECULA, CA 92590
(951) 252-8833
(951) 489-0494
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
306844
CA
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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