Individual
JOSHUA M KIMPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
90 HIGHLAND AVE, SAN MARTIN, CA 95046-9504
(408) 852-2420
Mailing address
90 HIGHLAND AVE, SAN MARTIN, CA 95046-9504
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
269947
CA
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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