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Kelly Roughgarden
NPI 1174077614 · on the registry since 2016
Practice
- Address
- 5405 N Pershing Ave
Ste. C-1
Stockton, CA 95207 - Phone
- (209) 476-1959
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Sex
- Female
- Record last updated
- 2016-08-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California