Individual
MRS. KIMBERLEY K. PROCKELO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4175 S ALAMO AVE, DM AFB, AZ 85707-6097
(520) 228-2651
Mailing address
PO BOX 23936, TUCSON, AZ 85734-3936
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H1617
AZ
Other
Enumeration date
01/23/2006
Last updated
07/08/2007
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