BRYAN KEITH KECK

STOCKTON, CA
NPI1639807043
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2022-08-12
Last Update Date2023-12-14
Business Address
BRYAN KEITH KECK
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8686
Mailing Address
BRYAN KEITH KECK
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8686