Individual
KIMBERLY OZMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41990 COOK ST BLDG F, PALM DESERT, CA 92211-6100
(760) 341-5570
Mailing address
949 EUCLID AVE, BEAUMONT, CA 92223-1847
(909) 534-3850
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
257564
CA
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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