KELLI GRISHAM

FAIR OAKS, CA
NPI1427878420
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: CA  95032540)
Enumeration Date2024-10-14
Last Update Date2025-09-29
Business Address
KELLI GRISHAM
6608 MERCY CT STE B
FAIR OAKS, CA 95628-3171
Phone number: 916-241-9844
Mailing Address
KELLI GRISHAM
6608 MERCY CT STE B
FAIR OAKS, CA 95628-3171
Phone number: 916-241-9844