Individual
KYLIE CAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4287 SUZANNE DR, PITTSBURG, CA 94565-6254
(925) 584-1937
Mailing address
4287 SUZANNE DR, PITTSBURG, CA 94565-6254
(925) 529-0223
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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