Individual
MISS KIMBERLY RENEE HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
6511 I STREET, SACRAMENTO, CA 95814
(916) 874-5222
Mailing address
601 GARCIA AVEUNE, ROSEVILLE, CA 95678
(916) 773-4650
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
568006
CA
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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