Kelly Lynn Brooks
Student in an Organized Health Care Education/Training Program in San Dimas, CA. Individual provider (NPI-1).
NPI number1699558338
StatusActive
Last updated in NPPESAug 16, 2023
Details
- NPI
- 1699558338
- Entity type
- Individual (NPI-1)
- Name
- Kelly Lynn Brooks
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2023
- Certification date
- Aug 16, 2023
- Last updated
- Aug 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
180 Via VerdeSan Dimas, CA 91773-3993
Phone 909-599-1227
Mailing address
180 Via VerdeSan Dimas, CA 91773-3993
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All 51 Student in an Organized Health Care Education/Training Program providers in San Dimas · All 1,245 providers in San Dimas
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