Individual
MRS. KIMBERLEE ANN CLARK-RABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.G.N.P.-BC
Contact information
Practice address
1161 CIRBY WAY, ROSEVILLE, CA 95661-4421
(916) 782-1238
Mailing address
3001 DOUGLAS BLVD, #150, ROSEVILLE, CA 95661-3851
(916) 241-9844
(916) 241-9845
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
21308
CA
363LG0600X
Gerontology Nurse Practitioner
21308
CA
Other
Enumeration date
02/05/2009
Last updated
11/20/2014
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