KIMBERLY MICHELE BERRY-DIVINAGRACIA

LA JOLLA, CA
NPI1205059086
Professional NameKIMBERLY M BERRY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  19019)
Enumeration Date2007-04-10
Last Update Date2012-01-27
Business Address
-- KIMBERLY MICHELE BERRY-DIVINAGRACIA PA-C
10666 N TORREY PINES RD MAIL DROP MC 100C
LA JOLLA, CA 92037-1027
Phone number: 858-678-6886
Mailing Address
-- KIMBERLY MICHELE BERRY-DIVINAGRACIA PA-C
FILE # 54433
LOS ANGELES, CA 90074-4433
Phone number: 858-678-6886