Individual
KYLE VINZANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6039 DOVE FLOWER WAY, SAN DIEGO, CA 92115-8244
(316) 833-1585
Mailing address
6039 DOVE FLOWER WAY, SAN DIEGO, CA 92115-8244
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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