MANNY BRICE KELLY

SAN BERNARDINO, CA
NPI1003479320
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  33817)
Enumeration Date2019-04-22
Last Update Date2019-04-22
Business Address
MANNY BRICE KELLY LPT
1481 WINDSOR DR
SAN BERNARDINO, CA 92404-5416
Phone number: 909-361-6472
Mailing Address
MANNY BRICE KELLY LPT
2895 W FAIRVIEW DR
RIALTO, CA 92377-3425
Phone number: 909-435-5341
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