KELLY J WALLIN

SACRAMENTO, CA
NPI1447575709
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2010-03-30
Last Update Date2021-12-15
Business Address
-- KELLY J WALLIN
2025 MORSE AVE
SACRAMENTO, CA 95825-2115
Phone number: 916-973-6961
Mailing Address
-- KELLY J WALLIN
1890 GENEVA PL
SACRAMENTO, CA 95825-1315
Phone number:
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