Individual
KIMI NICOLE VERILHAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5570 OVERLAND AVE STE 101, SAN DIEGO, CA 92123-1215
(858) 694-2895
Mailing address
5029 HARVILLE RD, SANTA ROSA, CA 95409-2517
(970) 290-3099
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
A134515
CA
Other
Enumeration date
04/01/2011
Last updated
12/03/2016
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