LISA ANN KENNELLY

FONTANA, CA
NPI1508352972
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: CA  95009012)
Enumeration Date2018-07-09
Last Update Date2018-07-09
Business Address
LISA ANN KENNELLY NP
16931 BAYOU LN
FONTANA, CA 92336-2199
Phone number: 909-921-3072
Mailing Address
LISA ANN KENNELLY NP
16931 BAYOU LN
FONTANA, CA 92336-2199
Phone number: 909-921-3072
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