KENNETH ALONZO CARROLL

CULVER CITY, CA
NPI1659703114
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2013-08-06
Last Update Date2013-08-06
Business Address
Mr. KENNETH ALONZO CARROLL
6666 GREEN VALLEY CIR
CULVER CITY, CA 90230-7068
Phone number: 310-846-5270
Mailing Address
Mr. KENNETH ALONZO CARROLL
6666 GREEN VALLEY CIR
CULVER CITY, CA 90230-7068
Phone number: 310-846-5270