Kimberly Sue Hollister-Odell, RN
Registered Nurse in San Jose, CA. Individual provider (NPI-1).
NPI number1982103677
StatusActive
Last updated in NPPESFeb 8, 2018
Details
- NPI
- 1982103677
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Sue Hollister-Odell
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 8, 2018
- Last updated
- Feb 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 95051311 | CA | Yes |
Practice location
2001 The AlamedaSan Jose, CA 95126-1136
Phone 408-261-7777 · Fax 408-259-2273
Mailing address
29873 Clearbrook Cir Apt 143Hayward, CA 94544-6852
Phone 734-972-6253
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