Individual
MR. BRETT KELLETT ALLAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
9610 GRANITE RIDGE DR, SUITE C, SAN DIEGO, CA 92123-2684
(858) 573-0550
(858) 573-0551
Mailing address
3980 LAGO DI GRATA CIR, SAN DIEGO, CA 92130-8601
(619) 990-0543
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC30273
CA
Other
Enumeration date
10/25/2006
Last updated
11/03/2011
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