KELLYE CAMPOS

SANTA CRUZ, CA
NPI1073523361
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  15403)
Enumeration Date2006-08-09
Last Update Date2018-03-05
Business Address
Mrs. KELLYE CAMPOS NP
1595 SOQUEL DR STE 400
SANTA CRUZ, CA 95065-1724
Phone number: 831-475-1111
Mailing Address
Mrs. KELLYE CAMPOS NP
3400 DATA DR ATTN: CREDENTIALING/PAYER ENROLLMENT
RANCHO CORDOVA, CA 95670-7956
Phone number: