Individual
MRS. KIMBERLY ROSANNE NGUYEN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP, RN, RD
Contact information
Practice address
4601 DALE RD, MODESTO, CA 95356-9718
(209) 735-5000
Mailing address
749 ELM ST, SAN JOSE, CA 95126-1810
(408) 421-1086
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86043775
CA
363LW0102X
Women's Health Nurse Practitioner
NP95030850
CA
367A00000X
Advanced Practice Midwife
Primary
NMW236478
CA
Other
Enumeration date
05/01/2015
Last updated
11/13/2024
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