KIMBERLY TA

SAN DIEGO, CA
NPI1639839418
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95018697)
Enumeration Date2021-12-21
Last Update Date2024-08-01
Business Address
Ms. KIMBERLY TA
16745 W BERNARDO DR STE 240
SAN DIEGO, CA 92127-1908
Phone number: 858-592-2000
Mailing Address
Ms. KIMBERLY TA
13458 TREASURE WAY
CHINO HILLS, CA 91709-1223
Phone number: 909-720-4805