Individual
KIMBERLY-ANN AGCOPRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PHN, BSN
Contact information
Practice address
5730 PACKARD AVE, SUITE 100, MARYSVILLE, CA 95901-7118
(530) 749-6366
(530) 749-6397
Mailing address
5730 PACKARD AVE, SUITE 100, MARYSVILLE, CA 95901-7118
(530) 749-6366
(530) 749-6397
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
807679
CA
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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