Individual
MRS. KELLIE NICOLE ABSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
1102 5TH ST, WASCO, CA 93280-1338
(661) 758-7190
(661) 758-7174
Mailing address
1102 5TH ST, WASCO, CA 93280-1338
(661) 758-7190
(661) 758-7174
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
720668
CA
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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