DANIEL MICHAEL KENNEDY

COLTON, CA
NPI1255687174
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  PT 32991)
Enumeration Date2012-07-29
Last Update Date2015-03-18
Business Address
-- DANIEL MICHAEL KENNEDY PT
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3144
Mailing Address
-- DANIEL MICHAEL KENNEDY PT
2779 28TH ST
HIGHLAND, CA 92346-1734
Phone number: 503-805-9465
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