Individual
KYLIE ROSE WILBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8432 MAGNOLIA AVE, RIVERSIDE, CA 92504-3297
(800) 782-3382
Mailing address
2840 COTTONWOOD DR, SAN BRUNO, CA 94066-2624
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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