KIMBERLY TA

ONTARIO, CA
NPI1639839418
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95018697)
Enumeration Date2021-12-21
Last Update Date2025-02-06
Business Address
Ms. KIMBERLY TA
3110 E GUASTI RD STE 315
ONTARIO, CA 91761-1258
Phone number: 909-942-5666
Mailing Address
Ms. KIMBERLY TA
3110 E GUASTI RD STE 315
ONTARIO, CA 91761-1258
Phone number: 909-942-5666