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Individual
MRS. KIMBERLY MARIE BARMACK
Active
Individual
MRS. KIMBERLY MARIE BARMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20705
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881018067
—
CA
01
—
NP20705
MEDICAL LICENSE
CA
Enumeration date
02/10/2014
Last updated
08/25/2016
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