Individual provider · Type 1 NPI

Kimberly Michelle Waterman

Student in an Organized Health Care Education/Training Program · Rio Linda, CA

NPI number 1245861822 Active

Practice location

505 M St
Rio Linda, CA 95673-2218

Call (916) 287-4067 Map

Mailing address

5354 J St
Sacramento, CA 95819-3944

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245861822

Kimberly Michelle Waterman's National Provider Identifier is 1245861822, issued on Jan 31, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rio Linda, CA. The record was last updated on Jan 31, 2020.