Individual
KELTY RUE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3710 9 1/2 AVE, HANFORD, CA 93230-9711
(559) 410-3152
Mailing address
3710 9 1/2 AVE, HANFORD, CA 93230-9711
(559) 410-3152
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
743277
CA
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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