Individual
MS. KIMBERLY DENISE WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
1000 BROADWAY, OAKLAND, CA 94607-4099
(510) 595-6340
Mailing address
1000 BROADWAY, OAKLAND, CA 94607-4099
(510) 595-6340
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
500833
CA
163WC1500X
Community Health Registered Nurse
Primary
500833
CA
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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