Individual
KELLY JACQUELIN MCWAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 SEABRIGHT AVE, SANTA CRUZ, CA 95062-2597
(831) 429-3410
(831) 429-3450
Mailing address
403 WOODROW AVE, SANTA CRUZ, CA 95060-6419
(831) 713-6384
(831) 515-7971
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
469687
CA
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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