KYLE WIESENTHAL

SACRAMENTO, CA
NPI1710601240
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: CA  MPSS-INTFER)
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2022-09-28
Last Update Date2023-08-08
Business Address
KYLE WIESENTHAL
401 S ST
SACRAMENTO, CA 95811-6919
Phone number: 916-584-7800
Mailing Address
KYLE WIESENTHAL
401 S ST
SACRAMENTO, CA 95811-6919
Phone number: 916-584-7800