Individual
KIMBERLY STORM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D
Contact information
Practice address
1601 AVOCADO AVE STE 100, NEWPORT BEACH, CA 92660-7798
(949) 719-3600
Mailing address
858 QUAIL MDWS, IRVINE, CA 92603-4236
(408) 679-3638
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1062796
CA
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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