KELLIE NICOLE LONG

SAN DIEGO, CA
NPI1073861779
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2012-08-28
Last Update Date2012-08-28
Business Address
-- KELLIE NICOLE LONG BSW
3255 WING ST
SAN DIEGO, CA 92110-4638
Phone number: 619-221-8600
Mailing Address
-- KELLIE NICOLE LONG BSW
3255 WING ST
SAN DIEGO, CA 92110-4638
Phone number: 619-221-8600