Individual
MICHAELA ROSE KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3066 PORTALS AVE, CLOVIS, CA 93619-9380
(559) 281-1095
Mailing address
3066 PORTALS AVE, CLOVIS, CA 93619-9380
(559) 281-1095
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
7450
CA
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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