JACK STEVEN KELLEY

SACRAMENTO, CA
NPI1437628781
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-11-15
Last Update Date2018-11-15
Business Address
JACK STEVEN KELLEY
3737 MARCONI AVE
SACRAMENTO, CA 95821-5303
Phone number: 916-480-1801
Mailing Address
JACK STEVEN KELLEY
3737 MARCONI AVE
SACRAMENTO, CA 95821-5303
Phone number: 916-480-1801