KENDRICK WAYNE LOGAN

COLTON, CA
NPI1053190975
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2023-09-28
Last Update Date2025-05-12
Business Address
KENDRICK WAYNE LOGAN
1330 E COOLEY DR
COLTON, CA 92324-3905
Phone number: 909-580-3734
Mailing Address
KENDRICK WAYNE LOGAN
1330 E COOLEY DR
COLTON, CA 92324-3905
Phone number: 909-580-3705
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