NELAE JONTUE KEENE

COSTA MESA, CA
NPI1790061208
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  21875)
Enumeration Date2011-10-28
Last Update Date2018-12-12
Business Address
NELAE JONTUE KEENE PA-C
2787 BRISTOL ST STE 210
COSTA MESA, CA 92626-5956
Phone number: 949-515-7300
Mailing Address
NELAE JONTUE KEENE PA-C
2787 BRISTOL ST STE 210
COSTA MESA, CA 92626-5956
Phone number: 949-515-7300
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