KELLIE MARIE-KAZUKO KODAMA

FULLERTON, CA
NPI1164146494
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2022-09-29
Last Update Date2024-01-04
Business Address
KELLIE MARIE-KAZUKO KODAMA
2575 YORBA LINDA BLVD
FULLERTON, CA 92831-1615
Phone number: 714-449-7400
Mailing Address
KELLIE MARIE-KAZUKO KODAMA
2575 YORBA LINDA BLVD
FULLERTON, CA 92831-1615
Phone number: