Individual
KINDEL GRACE CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-5967
Mailing address
10 GLICINA ST, RANCHO MISSION VIEJO, CA 92694-1824
(949) 306-0685
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95016118
CA
Other
Enumeration date
12/09/2020
Last updated
03/20/2023
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