Individual
KIMBERLY PERRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 HARPST ST, ARCATA, CA 95521-8222
(707) 826-3146
(707) 826-5042
Mailing address
1 HARPST ST, ARCATA, CA 95521-8222
(707) 826-3146
(707) 826-5042
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
462056
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
462056
REGISTERED NURSE
CA
Enumeration date
01/10/2014
Last updated
01/10/2014
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