Individual
MS. KIMBERLY KAY TILLOTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM/NP
Contact information
Practice address
18300 HIGHWAY 18, APPLE VALLEY, CA 92307-2215
(760) 242-2311
(760) 946-8875
Mailing address
18300 US HIGHWAY 18, APPLE VALLEY, CA 92307-2206
(760) 242-2311
(760) 946-8875
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NMW1393
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NMW0013930
—
CA
Enumeration date
09/06/2006
Last updated
11/06/2008
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