Individual
KIMBERLY BALMOREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
751 LOMBARDI CT, SANTA ROSA, CA 95407-6798
(707) 303-3600
Mailing address
751 LOMBARDI CT, SANTA ROSA, CA 95407-6798
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95348582
CA
363L00000X
Nurse Practitioner
Primary
95036512
CA
Other
Enumeration date
12/06/2024
Last updated
08/15/2025
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