Individual
KIMBERLY KAY PETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3735 HILLCREST LN, SACRAMENTO, CA 95821-2732
(949) 922-2599
Mailing address
3735 HILLCREST LN, SACRAMENTO, CA 95821-2732
(949) 922-2599
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA2417
CA
Other
Enumeration date
04/11/2011
Last updated
05/06/2014
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