SHANE KELLEY

FULLERTON, CA
NPI1073244851
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2022-06-22
Last Update Date2022-06-22
Business Address
SHANE KELLEY PA
1716 N MOUNTAIN VIEW PL
FULLERTON, CA 92831-1228
Phone number: 949-280-1387
Mailing Address
SHANE KELLEY PA
1716 N MOUNTAIN VIEW PL
FULLERTON, CA 92831-1228
Phone number: 949-280-1387
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