SearchCalifornia106H00000X

Kelley Queen, MA

NPI 1356107346 · on the registry since 2024 · sole proprietor

Practice

Address
4106 Terrace St Apt 4
Oakland, CA 94611
Phone
(925) 381-4439

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-27

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