Individual
KIMBERLY LEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2227 PIEDMONT AVE, SIMPSON CENTER, RM. 170, BERKELEY, CA 94720-2325
(510) 642-4878
Mailing address
289 BELHAVEN AVE, DALY CITY, CA 94015-4208
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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