Individual
MRS. KIMBERLY COURTNEY SAMUELSON VISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
7300 N FRESNO ST, FRESNO, CA 93720-2941
(559) 448-5118
(559) 448-5460
Mailing address
1400 E EL PASO AVE, FRESNO, CA 93720-2637
(559) 999-1378
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
875187
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
875187
CDR
CA
Enumeration date
08/31/2006
Last updated
11/24/2021
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