MIRACLE KENNON

LOS ANGELES, CA
NPI1417403163
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy374U00000X Home Health Aide
(Licence: CA  D8116361)
Enumeration Date2016-08-31
Last Update Date2016-08-31
Business Address
-- MIRACLE KENNON
711 W 54TH ST
LOS ANGELES, CA 90037-3723
Phone number: 323-593-1035
Mailing Address
-- MIRACLE KENNON
711 W 54TH ST
LOS ANGELES, CA 90037
Phone number: 323-593-1035
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