Individual
CARLA LYNN KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6616 MISTY CREEK DR, CITRUS HEIGHTS, CA 95621-1847
(916) 470-4182
Mailing address
6616 MISTY CREEK DR, CITRUS HEIGHTS, CA 95621-1847
(916) 470-4182
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
11/29/2021
Last updated
11/29/2021
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