KELLIE JOHNSON MATUSALEM

SAN DIEGO, CA
NPI1194121954
Former NameKELLIE JOHNSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  51956)
Enumeration Date2014-11-06
Last Update Date2021-12-21
Business Address
KELLIE JOHNSON MATUSALEM MS, PA-C
3750 CONVOY ST STE 201
SAN DIEGO, CA 92111-3770
Phone number: 858-278-8300
Mailing Address
KELLIE JOHNSON MATUSALEM MS, PA-C
3750 CONVOY ST STE 201
SAN DIEGO, CA 92111-3770
Phone number: 858-278-8300
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