Individual
KELLY PERRYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 ARNOLD DR STE 200, MARTINEZ, CA 94553-4189
(925) 812-7804
Mailing address
1340 ARNOLD DR STE 200, MARTINEZ, CA 94553-4189
(925) 812-7804
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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