Octavia Maria Kimble
Octavia Maria Kimble is a Mental Health Clinic/Center (Including Community Mental Health Center) in San Diego, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
823 Gateway Center WaySan Diego, CA 92102-4541
Phone: (619) 515-2300
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Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X (CA) |
|---|
Record details
| NPI number | 1205411725 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 16, 2021 |
| Last updated in NPPES | March 16, 2021 |
| Certification date | March 14, 2021 |
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