Individual
KELLY ROSE ACHENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2510 LANDIS ST APT D, SAN DIEGO, CA 92104-3464
(619) 291-1924
Mailing address
2510 LANDIS ST APT D, SAN DIEGO, CA 92104-3464
(619) 291-1924
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/08/2011
Last updated
03/08/2011
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