Wyldbore, Kylie Amber

Wyldbore, Kylie Amber is an individual health care provider with primary practice located at 1201 Shaffer Rd. Bldg 1 Suite 1A, Santa Cruz CA 95060. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Wyldbore, Kylie Amber can be contacted via phone (831) 888-6234.

Contact Information

Primary practice address
1201 Shaffer Rd. Bldg 1 Suite 1A Santa Cruz CA 95060
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X MPSS-PGWUZT California

Profile Details

NPI number 1194509745
LBN Legal business name Wyldbore, Kylie Amber
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2023
Last updated Aug 23rd, 2023 - about last year

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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