Kelly Ann Mall LVN

NPI 1124210620 - Licensed Vocational Nurse - 164X00000X

NPI Details
NPI 1124210620
Gender Female
Enumeration Date 08/17/2007
Last Updated 08/17/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1330 N INDIAN CANYON DR
STE A
PALM SPRINGS CA, 92262-4880, US
Phone (760) 322-9065
Fax
Business Location
1330 N INDIAN CANYON DR
STE A
PALM SPRINGS CA, 92262-4880, US
Phone (760) 322-9065
Fax
Toxanomy
Taxonomy Code 164X00000X
License State California
License Number VN 138503
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According to our database, Ms. Kelly Ann Mall LVN NPI is 1124210620, taxonomy code is 164X00000X and license number is VN 138503, license state is located at California. Kelly Ann Mall LVN physically located at 1330 N Indian Canyon Dr, Palm Springs CA, 92262-4880. NPI Number Kelly Ann Mall LVN has the Individual type.

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1124210620 NPI number is provided on an as is basis without warranty of any kind. 1124210620 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Ann Mall LVN are for informational purposes only.