Individual
KRISTYN GRAY PELLECCHIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
140 ARBOR DR # 851, SAN DIEGO, CA 92103-2007
(619) 543-5895
(619) 543-7013
Mailing address
4845 TULA CT., SAN DIEGO, CA 92122-1407
(858) 472-3423
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21354
CA
Other
Enumeration date
02/18/2011
Last updated
05/10/2013
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