Individual
MRS. KELLY PAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, MSN
Contact information
Practice address
1155 MISTLETOE LN, REDDING, CA 96002-0749
(530) 356-2468
Mailing address
1155 MISTLETOE LN, REDDING, CA 96002-0749
(530) 356-2468
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
687050
CA
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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