Individual
ANGELA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
801 E CHAPMAN AVE, FULLERTON, CA 92831-3839
(562) 996-2323
(562) 802-3644
Mailing address
801 E CHAPMAN AVE, FULLERTON, CA 92831-3839
(562) 889-8987
(562) 802-3644
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/29/2009
Last updated
06/25/2013
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