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Demetri Kelley
NPI 1659009389 · on the registry since 2022 · sole proprietor
Practice
- Address
- 11519 Carlisle Pl
Rancho Cucamonga, CA 91730 - Phone
- (909) 484-7259
- Organisation at this address
- Tender Loving Care Home For Boys, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 7839 Patriot Pl, Rancho Cucamonga, CA
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Sex
- Male
- Record last updated
- 2022-08-10
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