KENNETH JASON HOLMES

SAN DIEGO, CA
NPI1598032229
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  PT36002)
Enumeration Date2011-11-23
Last Update Date2011-12-01
Business Address
-- KENNETH JASON HOLMES
734 10TH AVE
SAN DIEGO, CA 92101-6502
Phone number: 619-239-4663
Mailing Address
-- KENNETH JASON HOLMES
734 10TH AVE
SAN DIEGO, CA 92101-6502
Phone number: 619-239-4663
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