KELLY HER

VENTURA, CA
NPI1114293255
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  11990)
Enumeration Date2012-03-22
Last Update Date2012-03-22
Business Address
Mrs. KELLY HER A.c.
970 PETIT AVE STE D
VENTURA, CA 93004-2215
Phone number: 805-302-0266
Mailing Address
Mrs. KELLY HER A.c.
1224 BLUEBONNET AVE
VENTURA, CA 93004-3566
Phone number: 805-302-0266