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Individual

KIMBERLY LYNN BUCKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 856-9904
Mailing address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 856-9904

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
01/17/2025
Last updated
04/10/2025
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