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KIMBERLY D ALEXANDER RN
Administrator >> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1649946336
Individual Registrant: KIMBERLY D ALEXANDER RN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
14574 ROCHESTER AVE CHINO, CA 91710-6970 US
Tel: 909-660-2322 Fax: --
Tel: 909-660-2322 Fax: --
Contact information for business:
14574 ROCHESTER AVE CHINO, CA 91710-6970 US
Tel: 909-660-2322 Fax: --
Tel: 909-660-2322 Fax: --
Registration Information:
NPI: 1649946336
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163WA2000X | Nursing Service Providers Registered Nurse Administrator | CA | 559793 |
| N | 163W00000X | Nursing Service Providers Registered Nurse | CA | 559793 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
