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

Primary practice address
1664 Broadway El Cajon CA 92021-5201
Phone: (619) 579-8685
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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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