KYLE VINCENT CONNEALLY

SAN PEDRO, CA
NPI1104432871
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-09-18
Last Update Date2020-09-18
Business Address
KYLE VINCENT CONNEALLY
1003 S BEACON ST
SAN PEDRO, CA 90731-4324
Phone number: 310-514-4940
Mailing Address
KYLE VINCENT CONNEALLY
1003 S BEACON ST
SAN PEDRO, CA 90731-4324
Phone number: 310-514-4940
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