KENNETH LILLARD

SAN BERNARDINO, CA
NPI1396870556
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2007-02-21
Last Update Date2023-06-12
Business Address
KENNETH LILLARD
572 N ARROWHEAD AVE
SAN BERNARDINO, CA 92401-1251
Phone number: 909-266-2700
Mailing Address
KENNETH LILLARD
256 E 8TH ST
BEAUMONT, CA 92223-5904
Phone number: 909-266-2707