KIMBERLEE WAGNER

VAN NUYS, CA
NPI1093163784
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  VN 271004)
Enumeration Date2016-06-02
Last Update Date2016-06-02
Business Address
KIMBERLEE WAGNER LVN
16360 ROSCOE BLVD 2ND FLOOR
VAN NUYS, CA 91406-1219
Phone number: 818-901-4830
Mailing Address
KIMBERLEE WAGNER LVN
18115 ANDREA CIR N UNIT 1
NORTHRIDGE, CA 91325-1161
Phone number: 818-321-7985
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