Individual
MRS. KIMBERLEY JO POLITTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COF
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
(909) 777-3887
Mailing address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
(909) 777-3887
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
COFM-050
CA
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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