Individual
KIMBERLY JONES BAESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6700 INDIANA AVE STE 252, RIVERSIDE, CA 92506-4264
(951) 530-8257
(760) 818-8025
Mailing address
6700 INDIANA AVE STE 252, RIVERSIDE, CA 92506-4264
(951) 530-8257
(760) 818-8025
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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