ADAM ROSARIO KELLEY

LEBANON, OR
NPI1225529720
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI)
(Licence: OR  619337-93)
Enumeration Date2018-05-21
Last Update Date2018-05-21
Business Address
ADAM ROSARIO KELLEY
2604 S MAIN RD
LEBANON, OR 97355-2338
Phone number: 541-570-1728
Mailing Address
ADAM ROSARIO KELLEY
2604 S MAIN RD
LEBANON, OR 97355-2338
Phone number: 541-570-1728