DAIZOHN KELLY

LONG BEACH, CA
NPI1700473246
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2020-12-30
Last Update Date2020-12-30
Business Address
DAIZOHN KELLY
200 PINE AVE STE 400
LONG BEACH, CA 90802-3039
Phone number: 562-480-0847
Mailing Address
DAIZOHN KELLY
200 PINE AVE STE 400
LONG BEACH, CA 90802-3039
Phone number: 562-480-0847