KELLI GRISHAM

SACRAMENTO, CA
NPI1427878420
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: CA  95032540)
Enumeration Date2024-10-14
Last Update Date2024-10-14
Business Address
KELLI GRISHAM
10020 VANGUARD DR
SACRAMENTO, CA 95827-2329
Phone number: 916-300-5643
Mailing Address
KELLI GRISHAM
10020 VANGUARD DR
SACRAMENTO, CA 95827-2329
Phone number: 916-300-5643