Individual
BRITTANY KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6275 LASSEN RD, OAK HILLS, CA 92344-9515
(909) 762-9960
Mailing address
6275 LASSEN RD, OAK HILLS, CA 92344-9515
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95067088
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95001891
CA
Other
Enumeration date
04/25/2022
Last updated
11/21/2022
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