Individual
MISS KELLY MARIE CONTRERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
902 N. GRAND AVENUE, SUITE 204, SANTA ANA, CA 92701
(714) 613-0029
(714) 558-9803
Mailing address
902 N. GRAND AVENUE, SUITE 204, SANTA ANA, CA 92701
(714) 613-0029
(714) 558-9803
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
CA
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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