KELLEY LU

GLENDORA, CA
NPI1285256545
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  59806)
Additional Taxonomies363A00000X Physician Assistant
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-05-09
Last Update Date2021-09-27
Business Address
KELLEY LU
645 N WILDWOOD AVE
GLENDORA, CA 91741-1970
Phone number: 626-321-5398
Mailing Address
KELLEY LU
645 N WILDWOOD AVE
GLENDORA, CA 91741-1970
Phone number: 626-321-5398