Kimberley Jo Politte COF

NPI 1114053006 - Orthotic Fitter - 225000000X

NPI Details
NPI 1114053006
Gender Female
Enumeration Date 02/26/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
11201 BENTON ST
LOMA LINDA CA, 92357-1000, US
Phone (909) 825-7084
Fax (909) 777-3887
Business Location
11201 BENTON ST
LOMA LINDA CA, 92357-1000, US
Phone (909) 825-7084
Fax (909) 777-3887
Toxanomy
Taxonomy Code 225000000X
License State California
License Number COFM-050
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According to our database, Mrs. Kimberley Jo Politte COF NPI is 1114053006, taxonomy code is 225000000X and license number is COFM-050, license state is located at California. Kimberley Jo Politte COF physically located at 11201 Benton St, Loma Linda CA, 92357-1000. NPI Number Kimberley Jo Politte COF has the Individual type.

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1114053006 NPI number is provided on an as is basis without warranty of any kind. 1114053006 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberley Jo Politte COF are for informational purposes only.