KEISUKE MENJO

CERRITOS, CA
NPI1386127355
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: CA  AG08180103)
Enumeration Date2018-09-14
Last Update Date2019-09-27
Business Address
Mr. KEISUKE MENJO NP-C
12898 TOWNE CENTER DR
CERRITOS, CA 90703-8546
Phone number: 562-622-2800
Mailing Address
Mr. KEISUKE MENJO NP-C
12900 PARK PLAZA DR # 3150
CERRITOS, CA 90703-9329
Phone number: 562-622-2800
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