Individual
KIMBERLEY DAMIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1902 E KESSLER BLVD, LONGVIEW, WA 98632-1844
(360) 575-7580
Mailing address
1902 E KESSLER BLVD, LONGVIEW, WA 98632-1844
(360) 575-7580
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60605308
WA
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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