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Individual

KIMBERLY-NICOLLE VALDEZ SINGNGAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11980 MOUNT VERNON AVE, GRAND TERRACE, CA 92313-5172
(909) 864-1097
(909) 864-1097
Mailing address
11980 MOUNT VERNON AVE, GRAND TERRACE, CA 92313-5172
(909) 864-1097

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95024174
CA

Other

Enumeration date
05/03/2021
Last updated
02/26/2026
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