Individual
KHIMBERLY BLAIR HONRADA DIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT, RCP
Contact information
Practice address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 474-7777
Mailing address
2100 CAMINO REAL WAY, ROSEVILLE, CA 95747-8435
(916) 761-2757
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
34219
CA
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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