KELSEY MARIE GLIDEWELL

COLTON, CA
NPI1366951253
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant Surgical
(Licence: CA  54919)
Enumeration Date2017-09-24
Last Update Date2021-12-08
Business Address
KELSEY MARIE GLIDEWELL PA-C
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-6170
Mailing Address
KELSEY MARIE GLIDEWELL PA-C
PHR GROUP PROVIDER ENROLLMENT UNIT 393 E WALNUT ST FL 3
PASADENA, CA 91188-0001
Phone number: 877-608-0044
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