Kelly John

NPI 1740451772 - Counselor - 101YM0800X

NPI Details
NPI 1740451772
Gender Male
Enumeration Date 03/18/2008
Last Updated 03/18/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
300 HARVEY WEST BLVD
SANTA CRUZ CA, 95060-2103, US
Phone (831) 425-8132
Fax (831) 425-4581
Business Location
300 HARVEY WEST BLVD
SANTA CRUZ CA, 95060-2103, US
Phone (831) 425-8132
Fax (831) 425-4581
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Kelly John NPI is 1740451772, taxonomy code is 101YM0800X Kelly John physically located at 300 Harvey West Blvd, Santa Cruz CA, 95060-2103. NPI Number Kelly John has the Individual type.

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1740451772 NPI number is provided on an as is basis without warranty of any kind. 1740451772 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly John are for informational purposes only.