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Kimberly Penilla
NPI 1639566482 · on the registry since 2015 · sole proprietor
Practice
- Address
- 109 S Barbara St
Anaheim, CA 92806 - Phone
- (714) 504-5084
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 2255A2300X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-04-20
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California