Individual
KIMBERLY ANNE ANGELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
3975 JACKSON ST STE 207, RIVERSIDE, CA 92503-3948
(951) 352-2092
Mailing address
3710 DEERLODGE CIR, CORONA, CA 92881-8461
(951) 741-8478
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95025476
CA
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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