Individual
MARICELA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
610 NW 11TH ST, MEDICAL STAFF SERVICES, HERMISTON, OR 97838
(541) 667-3403
Mailing address
610 NW 11TH ST, MEDICAL STAFF SERVICES, HERMISTON, OR 97838
(541) 667-3403
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
201605956RN
OR
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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