KIAH CONNOLLY

DAVIS, CA
NPI1932514973
Former NameKIAH BERTOGLIO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CA  A134971)
Enumeration Date2014-06-29
Last Update Date2017-02-23
Business Address
-- KIAH CONNOLLY
3700 ARROYO AVE
DAVIS, CA 95618-7105
Phone number: 916-709-6485
Mailing Address
-- KIAH CONNOLLY
3700 ARROYO AVE
DAVIS, CA 95618-7105
Phone number: