Individual
MRS. KIMBERLY AGUPITAN POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
44139 MONTEREY AVE STE B, PALM DESERT, CA 92260-8700
(760) 773-4411
Mailing address
128 TESORI DR, PALM DESERT, CA 92211-0799
(909) 223-8766
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
656241
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
95000313
CA
Other
Enumeration date
05/24/2014
Last updated
06/14/2015
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