Individual
KIMBERLY DEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
145 BRINDLEY ST, SAN CLEMENTE, CA 92672-2602
(530) 306-5869
Mailing address
145 BRINDLEY ST, NONE, SAN CLEMENTE, CA 92672-2602
(530) 306-5869
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
822751
CA
Other
Enumeration date
10/01/2013
Last updated
09/26/2014
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