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Kyle Woods

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

NPI number1962003285
StatusActive
Last updated in NPPESNov 3, 2020

Details

NPI
1962003285
Entity type
Individual (NPI-1)
Name
Kyle Woods
Sex
Male
Sole proprietor
No
Enumeration date
Nov 3, 2020
Certification date
Nov 3, 2020
Last updated
Nov 3, 2020

Taxonomy and licenses

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

Practice location

325 W Hospitality Ln Ste 103
San Bernardino, CA 92408-3210

Phone 909-226-0862

Mailing address

325 W Hospitality Ln Ste 103
San Bernardino, CA 92408-3210

Phone 909-266-2786

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