Individual
KELLIE SNYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
560 W BROWN RD STE 1011, MESA, AZ 85201-3222
(360) 280-5149
Mailing address
10121 E GAMMA AVE, MESA, AZ 85212-9221
(360) 280-5149
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
309482
AZ
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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