Individual
KELSEY CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 GREENLEY RD, SONORA, CA 95370-5200
(951) 294-0601
Mailing address
28339 HALCYON CT, MENIFEE, CA 92584-8039
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
95024336
CA
363L00000X
Nurse Practitioner
Primary
95024336
CA
Other
Enumeration date
04/03/2023
Last updated
09/11/2024
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