Individual
JONATHAN RICHARD KYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
2250 SOQUEL AVE, SANTA CRUZ, CA 95062-1402
(831) 600-2800
Mailing address
2250 SOQUEL AVE, SANTA CRUZ, CA 95062-1402
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
690018
CA
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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