NPI 1063107753

Kemettra M Brooks, LVN

Practitioner Licensed Vocational Nurse Corona, CA

Practice location

Address: 2813 S Main St Fl 2, Corona, CA 92882-5942
Phone: (951) 737-2962
Fax: (951) 737-3278

Registered specialties

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence 697052 (CA)

Other Licensed Vocational Nurse providers in California →

Registry record

NPI: 1063107753
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Apr 2023
Record last updated: 7 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.