Individual
CHRISTINA ANN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008-1821
(323) 751-3726
Mailing address
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008-1821
(323) 751-3726
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT35091
CA
Other
Enumeration date
10/28/2021
Last updated
12/14/2021
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