Individual
KIMBERLY BIELICH-WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5621 NW 40TH TER, COCONUT CREEK, FL 33073-4057
(954) 873-8897
Mailing address
5621 NW 40TH TER, COCONUT CREEK, FL 33073-4057
(954) 873-8897
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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