MS. Kellie Jeannie Jack
MS. Kellie Jeannie Jack is a Community Health Worker in Eureka, California. Practices as a sole proprietor. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
720 Wood StEureka, CA 95501-4413
Phone: (707) 268-2990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1437305265 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 12, 2008 |
| Last updated in NPPES | April 4, 2014 |
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Jody Jorell Hardge
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Mr. Jesse Miles Katz, NONE
720 Wood St, Eureka, CA 95501-4413 · (707) 268-2990
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Miss. Jennifer Leslie Kayes
720 Wood St, Eureka, CA 95501-4413 · (707) 268-2990