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Individual
KIMBERLY NADIA SOORAJBALLY
Active
Individual
KIMBERLY NADIA SOORAJBALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
53240
CA
363AS0400X
Surgical Physician Assistant
PA3756
MA
363AS0400X
Surgical Physician Assistant
PA53240
CA
Other
Enumeration date
01/18/2012
Last updated
04/24/2023
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