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Organization

KAISER PERMANENTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS JANELLE WILEY (PHYSICAL THERAPY ASSISTANT)
(913) 707-3898
Entity
Organization

Contact information

Practice address
4510 VIEWRIDGE AVE, SAN DIEGO, CA 92123-1637
(858) 694-4970
Mailing address
2302 WALNUT ST, HAYS, KS 67601-3043

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
8231
CA

Other

Enumeration date
12/19/2007
Last updated
12/19/2007
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