Individual
MRS. KELLY SEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
11310 PROSPECT DRIVE STE 10 #306, JACKSON, CA 95642
(209) 418-7243
Mailing address
11310 PROSPECT DRIVE STE 10 #306, JACKSON, CA 95642
(209) 418-7243
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/11/2012
Last updated
07/10/2023
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