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NPI Code Detail

MEDICARE: KYLIE VILLARREAL

MEDICARE: KYLIE VILLARREAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1417806365
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLIE VILLARREAL
Provider Business Mailing Address
First Line : PO BOX 261
Second Line :
City : HERALD
State : CA
Zip : 95638-0261
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1085 SANDRINGHAM WAY
Second Line :
City : ROSEVILLE
State : CA
Zip : 95661-5321
Country : US
Telephone Number : 916-642-7800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2026
Last Update Date : 03/02/2026

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Directions to “ KYLIE VILLARREAL ” Practice Location

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