Individual
BRIANA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
204 HAMPTON DR, VENICE, CA 90291-2623
(310) 309-6001
Mailing address
204 HAMPTON DR, VENICE, CA 90291-2623
(310) 292-5830
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/19/2012
Last updated
10/29/2013
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