KELLY LONG

POMONA, CA
NPI1720649676
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  VN204910)
Enumeration Date2019-06-21
Last Update Date2019-06-21
Business Address
KELLY LONG LVN
2180 VALLEY BLVD
POMONA, CA 91768-3325
Phone number: 909-865-2336
Mailing Address
KELLY LONG LVN
2180 VALLEY BLVD
POMONA, CA 91768-3325
Phone number: 909-865-2336
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