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Individual

MRS. KYRSTYE BREE ANN BICERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, IBCLC

Contact information

Practice address
4960 CEDARBROOK LN, RIVERSIDE, CA 92504-1768
(951) 214-9347
Mailing address
4960 CEDARBROOK LN, RIVERSIDE, CA 92504-1768
(951) 214-9347

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95025579
CA
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-313254
CA

Other

Enumeration date
01/07/2025
Last updated
01/07/2025
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