Most Relevant Information
Provider Data
| NPI Number: | 1003238742 |
| Provider Name: | KYLE VINZANT |
| Entity Type: | Individual |
| Taxonomy Code: | 1710I1002X |
| Specialty: | Military Health Care Provider |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/15/2014 |
| Last Updated: | 01/15/2014 |
Provider Practice Location
6039 DOVE FLOWER WAY
SAN DIEGO
CA
921158244
Practice Location Phone/Fax
| Phone: | 3168331585 |
| Fax: |
Provider Mailing Location
6039 DOVE FLOWER WAY
SAN DIEGO
CA
921158244
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |