Individual
MRS. DIVINA R. LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
11201 BENTON STREET, ID SECTION (111M), LOMA LINDA, CA 92357-1000
(909) 825-7084
(909) 777-3810
Mailing address
11201 BENTON STREET, ID SECTION (111M), LOMA LINDA, CA 92357-1000
(909) 825-7084
(909) 777-3810
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
436486
CA
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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