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Individual

KELLY ANN GLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
8851 CENTER DR STE 408, LA MESA, CA 91942-3076
(619) 583-1174
Mailing address
14111 CHICARITA CREEK RD, SAN DIEGO, CA 92128-3611
(858) 437-2077

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95021834
CA

Other

Enumeration date
07/20/2022
Last updated
07/20/2022
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