KENNETH BRYAN RISLEY

HUNTINGTON PARK, CA
NPI1154036770
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2023-01-18
Last Update Date2023-01-18
Business Address
KENNETH BRYAN RISLEY
2677 ZOE AVE STE 304
HUNTINGTON PARK, CA 90255-3699
Phone number: 323-346-0960
Mailing Address
KENNETH BRYAN RISLEY
2677 ZOE AVE STE 304
HUNTINGTON PARK, CA 90255-3699
Phone number: