HALLAN KELLY

SAN MATEO, CA
NPI1619047198
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  PA1011)
Enumeration Date2006-11-09
Last Update Date2007-07-08
Business Address
-- HALLAN KELLY NP
222 W 39TH AVE
SAN MATEO, CA 94403-4364
Phone number: 650-573-2222
Mailing Address
-- HALLAN KELLY NP
222 W 39TH AVE
SAN MATEO, CA 94403-4364
Phone number: 650-573-2222