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Individual

MS. KIMBERLY REY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
11801 GO FOR BROKE RD, ROSEVILLE, CA 95678-7055
(916) 409-8262
Mailing address
PO BOX 9148, AUBURN, CA 95604-9148
(619) 565-9137

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95025251
CA

Other

Enumeration date
07/05/2023
Last updated
07/05/2023
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