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Kyle Jorel Cusack
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1457018392

Kyle Jorel Cusack is a Student in an Organized Health Care Education/Training Program based in Northfield, CA. Kyle Jorel Cusack practices in San Diego, CA. The NPI Number for Kyle Jorel Cusack is 1457018392 and holds a License No. (California).

The current practice location address for Kyle Jorel Cusack is 7752 Roan Rd, San Diego, CA and can be reached out via phone at 858-776-3871.

Location: 7752 Roan Rd, San Diego, CA, 05663-1000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457018392
Provider Name
Kyle Jorel Cusack
Credential
Provider Entity Type
Individual
Gender
Male
Address
7752 Roan Rd, San Diego, CA, 05663-1000
Phone Number
858-776-3871
Fax Number
Provider Enumeration Date
11/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7752 Roan Rd
City
San Diego
State
California
Zip
92129-4509
Phone Number
858-776-3871
Fax Number
person
Provider Business Mailing Address Details
Address
7752 Roan Rd
City
San Diego
State
California
Zip
92129-4509
Phone Number
858-776-3871
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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