Individual
KIMBERLY DAWN PAVELICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1193 E NILES AVE, FRESNO, CA 93720-2229
(559) 269-9194
Mailing address
1193 E NILES AVE, FRESNO, CA 93720-2229
(559) 269-9194
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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