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Individual
MS. KIMBERLY APRIL GLASS
Active
Individual
MS. KIMBERLY APRIL GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
VOCATIONAL NURSE
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 197561
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VN 197561
LICENSED VOCATIONAL NURSE
CA
Enumeration date
02/09/2015
Last updated
02/09/2015
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