Individual
KIRAIA KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 W BROADWAY STE 800, SAN DIEGO, CA 92101-3546
(845) 489-5859
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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