KENNETH TANNER

LOS ANGELES, CA
NPI1346937513
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Additional Taxonomies101Y00000X Counselor
Enumeration Date2023-04-19
Last Update Date2024-06-12
Business Address
KENNETH TANNER
840 N AVENUE 66
LOS ANGELES, CA 90042-1508
Phone number: 626-395-7100
Mailing Address
KENNETH TANNER
1651 W AVENUE J8 APT 113
LANCASTER, CA 93534-4786
Phone number: 602-772-2477
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