Wilton Kimble LVN

NPI 1033296678 - Licensed Vocational Nurse - 164X00000X

NPI Details
NPI 1033296678
Gender Male
Enumeration Date 11/01/2006
Last Updated 06/28/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
3853 ROSECRANS ST
SAN DIEGO CA, 92110-3115, US
Phone (619) 692-8232
Fax (619) 542-4060
Business Location
3853 ROSECRANS ST
SAN DIEGO CA, 92110-3115, US
Phone (619) 692-8232
Fax (619) 542-4060
Toxanomy
Taxonomy Code 164X00000X
License State California
License Number 139944
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According to our database, Wilton Kimble LVN NPI is 1033296678, taxonomy code is 164X00000X and license number is 139944, license state is located at California. Wilton Kimble LVN physically located at 3853 Rosecrans St, San Diego CA, 92110-3115. NPI Number Wilton Kimble LVN has the Individual type.

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1033296678 NPI number is provided on an as is basis without warranty of any kind. 1033296678 is maintained by the National Plan & Provider Enumeration System. The contents of Wilton Kimble LVN are for informational purposes only.