NPI Lookup
NPPES Search
Providers by State
Blog
*Home
1174077614
KELLY ROUGHGARDEN
STOCKTON, CA
NPI
1174077614
Copy
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-08-13
Last Update Date
2016-08-13
Business Address
KELLY ROUGHGARDEN
5405 N PERSHING AVE STE. C-1
STOCKTON, CA 95207-5451
Phone number: 209-476-1959
Copy
Mailing Address
KELLY ROUGHGARDEN
3601 PACIFIC AVE
STOCKTON, CA 95211-0110
Phone number:
Copy
Similar providers in Stockton, CA
TANNER AUSTIN DOWELL
JOHNNY FU
JENNIFER JOSE
IVANA MORENO
LILLIAN LAZENBY
KENNETH JEROME HAINSWORTH
BHAV KARAN SINGH
PAUL SHIU
JORIE MAE ALVARADO
KEROLLOS SAMOEEL HANNA