KENNIE LEE JOSE

POMONA, CA
NPI1679192686
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  PTA3182)
Enumeration Date2020-04-09
Last Update Date2020-04-09
Business Address
KENNIE LEE JOSE
1798 N GAREY AVE
POMONA, CA 91767-2918
Phone number: 909-865-9500
Mailing Address
KENNIE LEE JOSE
1798 N GAREY AVE
POMONA, CA 91767-2918
Phone number:
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