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Individual
MS. KIM THERESE LITTLE
Active
Individual
MS. KIM THERESE LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95021616
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95021616
FNP LICENSE
CA
Enumeration date
08/17/2022
Last updated
08/17/2022
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