Individual
KIMBERLY SUE ESSEX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
BLDG H100, CAMP PENDLETON, CA 92055
(760) 725-1288
Mailing address
7525 ENSIGN CT, FORT WAYNE, IN 46816-2751
(260) 444-4501
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
00029977
CA
227900000X
Registered Respiratory Therapist
Primary
30005346A
IN
227900000X
Registered Respiratory Therapist
RCP.11081
OH
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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