Individual
KIMBERLY NICHOL CLEMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661-3713
(360) 397-8246
Mailing address
3703 PACIFIC WAY, LONGVIEW, WA 98632-5328
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
61119288
WA
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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