Individual
MRS. KELLEY BOOKER-SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10463 GRANT LINE RD STE 118, ELK GROVE, CA 95624-4049
(916) 833-1864
(916) 685-4540
Mailing address
10463 GRANT LINE RD STE 118, ELK GROVE, CA 95624-4049
(916) 833-1864
(916) 685-4540
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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