Individual
KYLIE B DI LULO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
655 MONTGOMERY ST STE 810, SAN FRANCISCO, CA 94111-2677
(844) 847-8216
(415) 520-9150
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
63080
ID
Other
Enumeration date
10/08/2019
Last updated
12/19/2023
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