Individual
SEAN CAMPBELL KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(877) 873-2762
Mailing address
26330 LONG ST, LOMA LINDA, CA 92354-6565
(707) 299-8910
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95071128
CA
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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