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KIMBERLY BROEKER AGRAVIADOR RN

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1225544711

Individual Registrant:
 KIMBERLY  BROEKER AGRAVIADOR RN
Gender: F
Sole Proprietor

Location and contact information for practice:
5407 OCANA AVE  LAKEWOOD, CA 90713-1517 US
Tel: 562-715-7571  Fax: --

Contact information for business:
5407 OCANA AVE  LAKEWOOD, CA 90713-1517 US
Tel: 562-715-7571  Fax: --

Registration Information:
NPI: 1225544711
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163W00000XNursing Service Providers
Registered Nurse
CA795096

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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