Individual
KELLI BRI BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2323 E GREENLAW LN STE 10B, FLAGSTAFF, AZ 86004-1849
(480) 318-1798
Mailing address
2323 E GREENLAW LN #10-B, FLAGSTAFF, AZ 86004
(929) 326-1129
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8611480
AZ
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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