Most Relevant Information
Provider Data
| NPI Number: | 1003588906 |
| Provider Name: | KAYLEE ALYSSA PUAILOA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/29/2021 |
| Last Updated: | 10/14/2021 |
Provider Practice Location
2130 E 4TH ST STE 107
SANTA ANA
CA
927053818
Practice Location Phone/Fax
| Phone: | 7145435437 |
| Fax: |
Provider Mailing Location
2130 E 4TH ST STE 107
SANTA ANA
CA
927053818
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |