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Kimberly Carrillo
Licensed Vocational Nurse in San Dimas, California
NPI 1699486902

Kimberly Carrillo is a Licensed Vocational Nurse based in San Dimas, CA. Kimberly Carrillo practices in San Dimas, CA. The NPI Number for Kimberly Carrillo is 1699486902 and holds a License No. 728683 (California).

The current practice location address for Kimberly Carrillo is 762 Cypress St, San Dimas, CA and can be reached out via phone at 909-599-1227.

Location: 762 Cypress St, San Dimas, CA, 91773-3505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699486902
Provider Name
Kimberly Carrillo
Credential
Provider Entity Type
Individual
Gender
Female
Address
762 Cypress St, San Dimas, CA, 91773-3505
Phone Number
909-599-1227
Fax Number
Provider Enumeration Date
12/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
762 Cypress St
City
San Dimas
State
California
Zip
91773-3505
Phone Number
909-599-1227
Fax Number
person
Provider Business Mailing Address Details
Address
762 Cypress St
City
San Dimas
State
California
Zip
91773-3505
Phone Number
909-599-1227
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
728683 (California)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
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