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Individual

KIMBERLY VAIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3630 E IMPERIAL HWY, LYNWOOD, CA 90262-2609
(310) 900-8210
Mailing address
404 E 1ST ST # 1317, LONG BEACH, CA 90802-4903
(562) 310-7303

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
811649
CA

Other

Enumeration date
01/22/2020
Last updated
01/24/2020
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