Individual
AUDRA CLARE KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 MARSOLAN AVE, SOLANA BEACH, CA 92075-1931
(619) 363-5139
Mailing address
612 MARSOLAN AVE, SOLANA BEACH, CA 92075-1931
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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