Individual
MARTHA KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RCSN
Contact information
Practice address
24930 AVENUE STANFORD, VALENCIA, CA 91355-1272
(661) 294-5320
Mailing address
24930 AVENUE STANFORD, VALENCIA, CA 91355-1272
(661) 294-5320
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
496542
CA
163WC0400X
Case Management Registered Nurse
00133082
CA
163WS0200X
School Registered Nurse
Primary
190175806
CA
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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