Individual
KIMBERLY SHANDELL MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3050 E IMPERIAL HWY STE 303, BREA, CA 92821-6717
(646) 270-7121
Mailing address
3050 E IMPERIAL HWY STE 303, BREA, CA 92821-6717
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95009339
CA
Other
Enumeration date
08/05/2018
Last updated
08/05/2018
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