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Kahloah Dillard

Student in an Organized Health Care Education/Training Program in San Diego, CA. Individual provider (NPI-1).

NPI number1619705852
StatusActive
Last updated in NPPESDec 10, 2024

Details

NPI
1619705852
Entity type
Individual (NPI-1)
Name
Kahloah Dillard
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 22, 2024
Certification date
Dec 10, 2024
Last updated
Dec 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes
104100000X Social Worker––

Practice location

7830 Clairemont Mesa Blvd Ste 100a
San Diego, CA 92111-1632

Phone 619-229-2999

Mailing address

5500 Campanile Dr
San Diego, CA 92182-0003

Other practice locations

5500 Campanile Dr
San Diego, CA 92182-0003

Phone 619-313-3875

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