Individual
KYSHA ABNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1910 E CENTRAL AVE, SAN BERNARDINO, CA 92408-0123
(909) 277-7416
Mailing address
1910 E CENTRAL AVE, SAN BERNARDINO, CA 92408-0123
(909) 277-7416
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
598111
CA
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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