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Individual

KIMBERLY ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1999 MOWRY AVE # ADN, FREMONT, CA 94538-1738
(510) 770-8040
Mailing address
40910 FREMONT BLVD, FREMONT, CA 94538-4375

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95202298
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
95021883
CA

Other

Enumeration date
09/14/2021
Last updated
02/07/2025
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