Individual
KELLE DURRUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(760) 707-4761
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0102209487
VA
Other
Enumeration date
02/27/2024
Last updated
07/31/2025
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