MS. KELLIE JACK
Community Health Worker
Active
Individual
NPI: 1437305265
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Health Worker | 172V00000X | Yes | - |
Frequently Asked Questions
NPI 1437305265 is the National Provider Identifier for MS. KELLIE JACK, a Community Health Worker provider located in Eureka, CA. This NPI was enumerated on August 12, 2008.
MS. KELLIE JACK practices at 720 WOOD ST, Eureka, CA 95501.
Quick Facts
- NPI
- 1437305265
- Type
- Individual
- Enumerated
- Aug 12, 2008
- Last Updated
- Apr 4, 2014
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