Kyle Anthony Preston Bolam Valid NPI

Individual provider · Day Training/Habilitation Specialist · Wasilla, AK

NPI

1306463302

Type

Individual (Type 1)

Primary specialty

Day Training/Habilitation Specialist

Specialty group

Nursing Service Related Providers

Taxonomy code

373H00000X

Sex

Male

Sole proprietor

No

Enumerated

2020-06-25

Last updated

2020-06-25