KELLY OWEN

RIVERSIDE, CA
NPI1255082673
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner Acute Care
(Licence: CA  NP95019278)
Enumeration Date2022-01-17
Last Update Date2023-06-05
Business Address
KELLY OWEN
4646 BROCKTON AVE STE 203
RIVERSIDE, CA 92506-0104
Phone number: 951-394-7028
Mailing Address
KELLY OWEN
4646 BROCKTON AVE STE 203
RIVERSIDE, CA 92506-0104
Phone number: 951-394-7028