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Individual

JACQUILINE. KIMERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1648 N BRIGANTINE LN, VILLA PARK, CA 92867-4058
(714) 210-9502
Mailing address
1648 N BRIGANTINE LN, VILLA PARK, CA 92867-4058
(714) 210-9502

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
745504
CA

Other

Enumeration date
01/25/2025
Last updated
04/18/2026
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