Kelly Roughgarden
Kelly Roughgarden is a Student in an Organized Health Care Education/Training Program in Stockton, California. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
5405 N Pershing Ave Ste C-1Stockton, CA 95207-5451
Phone: (209) 476-1959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1174077614 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 13, 2016 |
| Last updated in NPPES | August 13, 2016 |
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