Individual
NICOLETTE MARIE KINSBURSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2089 SAWGRASS CREEK LN, CORONA, CA 92883-0623
(951) 741-1499
Mailing address
2089 SAWGRASS CREEK LN, CORONA, CA 92883-0623
(951) 741-1499
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95060996
CA
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-305695
CA
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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