DERRICK KENNEDY

SAN RAFAEL, CA
NPI1255922118
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2021-02-02
Last Update Date2023-09-15
Business Address
DERRICK KENNEDY
1089 LEA DR
SAN RAFAEL, CA 94903-3746
Phone number: 510-368-0651
Mailing Address
DERRICK KENNEDY
1089 LEA DR
SAN RAFAEL, CA 94903-3746
Phone number: 510-368-0651
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