Individual
KIMBERLY ANNE DEESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2144 EVERGLADES PL, DAVIS, CA 95616-6628
(210) 379-1765
Mailing address
2144 EVERGLADES PL, DAVIS, CA 95616-6628
(210) 379-1765
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
769224
CA
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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