KELLY MARIE MOORE

SAN BERNARDINO, CA
NPI1649049305
Former NameKELLY MARIE SMITH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95028281)
Enumeration Date2023-12-22
Last Update Date2024-05-15
Business Address
KELLY MARIE MOORE FNP-BC
1800 MEDICAL CENTER DR STE 300
SAN BERNARDINO, CA 92411-1241
Phone number: 909-880-0437
Mailing Address
KELLY MARIE MOORE FNP-BC
11542 CORNELL AVE
RIVERSIDE, CA 92507-6613
Phone number: 951-990-2381
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