Kimberly Dianne Penilla
Kimberly Dianne Penilla is an Athletic Trainer in Anaheim, California. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
109 S Barbara StAnaheim, CA 92806-3825
Phone: (714) 504-5084
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1639566482 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 20, 2015 |
| Last updated in NPPES | April 20, 2015 |
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