LANCE AARON KENNEDY

TARZANA, CA
NPI1104661925
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
Enumeration Date2024-06-25
Last Update Date2024-06-25
Business Address
LANCE AARON KENNEDY
18811 REDWING ST
TARZANA, CA 91356-3341
Phone number: 240-205-9462
Mailing Address
LANCE AARON KENNEDY
18811 REDWING ST
TARZANA, CA 91356-3341
Phone number: 240-205-9462
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