Wallace, Kimberlee Ann
Wallace, Kimberlee Ann is an sole proprietor health care provider with primary practice located at 1664 Broadway , El Cajon CA 92021-5201. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Wallace, Kimberlee Ann can be contacted via phone (619) 579-8685.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1417550435 |
|---|---|
| LBN Legal business name | Wallace, Kimberlee Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2020 |
| Last updated | Nov 20th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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