The holder whose full name is Nielson, Kyle Pratt,come from Blaine WA,hold the Physician license(NO.01065990A) which status is Active.
| Name | Nielson, Kyle Pratt |
|---|---|
| License Number | 01065990A |
| License Type | Physician |
| License Status | Active |
| City | Blaine |
| State | WA |