Individual
CHERYL DIANE SMITH-KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMA
Contact information
Practice address
532 N. EL GRANITO, PORTERVILLE, CA 93257
(559) 756-0554
Mailing address
532 N. EL GRANITO, PORTERVILLE, CA 93257
(559) 756-0554
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
003636
CA
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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