Brasil, Kimberly Ann
Brasil, Kimberly Ann is an sole proprietor health care provider with primary practice located at 9663 Old Redwood Hwy , Penngrove CA 94951-9610. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Brasil, Kimberly Ann can be contacted via phone (707) 548-2789.Contact Information
Primary practice address
9663 Old Redwood Hwy
Penngrove CA 94951-9610
Phone: (707) 548-2789
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | HAP669 | California |
Profile Details
| NPI number | 1083112221 |
|---|---|
| LBN Legal business name | Brasil, Kimberly Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2018 |
| Last updated | Jan 23rd, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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