Individual provider · Type 1 NPI

Kyle Justin Difulvio, MA

Student in an Organized Health Care Education/Training Program · Santa Monica, CA

NPI number 1699205641 Active

Practice location

1527 4th St
Santa Monica, CA 90401-2358

Call (310) 394-9871 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1699205641

Kyle Justin Difulvio, MA's National Provider Identifier is 1699205641, issued on Jun 13, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Santa Monica, CA. The record was last updated on Jun 19, 2017.