KELLIE BARBARA ANN PLOENSE

BIG BEAR LAKE, CA
NPI1942669940
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95003840)
Enumeration Date2016-02-18
Last Update Date2019-09-05
Business Address
KELLIE BARBARA ANN PLOENSE FNP-C
41945 BIG BEAR BLVD
BIG BEAR LAKE, CA 92315
Phone number: 909-866-6567
Mailing Address
KELLIE BARBARA ANN PLOENSE FNP-C
P.O. BOX 6848 PMB 278
BIG BEAR LAKE, CA 92315
Phone number:
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