Thomas Matthew Wylie

NPI #1114693546 in San Luis Obispo, California

Provider Information

NPI Number: 1114693546
Entity Type: Individual
Name: Thomas Matthew Wylie
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 17, 2021
Last Updated: Sep 4, 2024

Practice Location

Address: 784 HIGH ST
City: San Luis Obispo
State: California
ZIP Code: 93401-5243
Phone: (805) 540-6500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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