Individual
MRS. KELLEY EZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
11201 BENTON ST, (120), LOMA LINDA, CA 92357-1000
(909) 825-7084
(909) 422-3108
Mailing address
29057 FOGHORN CT, ROMOLAND, CA 92585-3179
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
07/21/2022
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