Individual
KIM RENEE WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(562) 933-2000
Mailing address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(562) 933-2000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
19785
CA
Other
Enumeration date
07/28/2012
Last updated
07/28/2012
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