Individual
KYLE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12322 CLEARGLEN AVE, WHITTIER, CA 90604-3872
(562) 242-1076
(562) 947-4053
Mailing address
12322 CLEARGLEN AVE, WHITTIER, CA 90604-3872
(562) 242-1076
(562) 947-4053
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
237228780
CA
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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