Individual
MISS KELLY MICHELLE ANDOCILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1045 W 18TH ST, UPLAND, CA 91784-1551
(909) 949-9635
Mailing address
1045 W 18TH ST, UPLAND, CA 91784-1551
(909) 949-9635
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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