Individual
MRS. KYLIE ROSE TRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, SLPA
Contact information
Practice address
8840 N MAGNOLIA AVE STE 220, SANTEE, CA 92071-4516
(619) 749-7059
Mailing address
9843 SHADOW RD, LA MESA, CA 91941-4154
(619) 797-7886
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
3319
CA
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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