Individual
KELLYANN MICHELLE FRANCIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
171, 4TH ST., FORT IRWIN, CA 92310
(760) 380-3166
Mailing address
171, 4TH ST., FORT IRWIN, CA 92310
(760) 380-3166
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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