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Individual

KELLY CHOI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP-C

Contact information

Practice address
10380 FOOTHILL BLVD, RANCHO CUCAMONGA, CA 91730-3727
(909) 466-6020
(909) 466-1299
Mailing address
4451 MISSION HILLS DR, CHINO HILLS, CA 91709-7994
(714) 624-8447

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
771769
CA
163W00000X
Registered Nurse
78171
CA
363L00000X
Nurse Practitioner
Primary
95005380
CA

Other

Enumeration date
01/02/2017
Last updated
01/02/2017
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