KIMBERLY RODERICK

ERIE, PA
NPI1629424411
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  ARNP9436121)
Additional Taxonomies163W00000X Registered Nurse
(Licence: PA  RN654367)
Enumeration Date2016-05-11
Last Update Date2016-08-24
Business Address
-- KIMBERLY RODERICK CRNA
1324 S. SHORE DRIVE APT. G07
ERIE, PA 16505
Phone number: 307-631-1517
Mailing Address
-- KIMBERLY RODERICK CRNA
1324 S. SHORE DRIVE APT. G07
ERIE, PA 16505
Phone number: