Individual
JANA KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
50100 GOLSH RD, VALLEY CENTER, CA 92082-5338
(760) 749-1410
Mailing address
50100 GOLSH RD, VALLEY CENTER, CA 92082-5338
(760) 749-1410
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
415844
CA
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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