JADE MIDORI KELLEY

SAN DIEGO, CA
NPI1922646397
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: CA  86106236)
Enumeration Date2019-12-17
Last Update Date2019-12-17
Business Address
Ms. JADE MIDORI KELLEY RD
3020 CHILDRENS WAY
SAN DIEGO, CA 92123-4223
Phone number: 858-576-1700
Mailing Address
Ms. JADE MIDORI KELLEY RD
1135 HEMLOCK AVE
IMPERIAL BEACH, CA 91932-3520
Phone number: 619-207-9180
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