Kyle Blake Rush
Technician in Salinas, CA. Individual provider (NPI-1).
NPI number1407487572
StatusActive
Last updated in NPPESJan 28, 2020
Details
- NPI
- 1407487572
- Entity type
- Individual (NPI-1)
- Name
- Kyle Blake Rush
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 28, 2020
- Certification date
- Jan 28, 2020
- Last updated
- Jan 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374700000X | Technician | – | – | Yes |
Practice location
1123 Baldwin StSalinas, CA 93906-3681
Phone 916-729-3098
Mailing address
1123 Baldwin StSalinas, CA 93906-3681
Phone 916-729-3098
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