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Individual

MRS. KIMBERLEY HOGLUND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2515 MATHEWS ST, BERKELEY, CA 94702-2008
(510) 504-8514
Mailing address
2515 MATHEWS ST, BERKELEY, CA 94702-2008
(510) 504-8514

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN532762
CA
163WA2000X
Administrator Registered Nurse
Primary
RN5312761
CA
163WC0400X
Case Management Registered Nurse
RN532761
CA
163WC1600X
Continuing Education/Staff Development Registered Nurse
RN532761
CA
163WG0000X
General Practice Registered Nurse
RN531761
CA
163WH0200X
Home Health Registered Nurse
RN532761
CA
163WM1400X
Nurse Massage Therapist (NMT)
RN532761
CA
163WN1003X
Nutrition Support Registered Nurse
RN532761
CA
163WP0000X
Pain Management Registered Nurse
RN532761
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
RN532761
CA
Enumeration date
08/18/2022
Last updated
08/18/2022
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