Kimberly Michele Berry-Divinagracia, PA-C

NPI #1205059086 in La Jolla, California

Provider Information

NPI Number
1205059086
Entity Type
Individual
Name
Kimberly Michele Berry-Divinagracia, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Apr 10, 2007
Last Updated
Jan 27, 2012

Practice Location

Address
10666 N TORREY PINES RD
Address 2
MAIL DROP MC 100C
ZIP Code
92037-1027
Phone
(858) 678-6886

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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