KENYATTA IRVIN

GRANADA HILLS, CA
NPI1689325425
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95018472)
Enumeration Date2022-01-13
Last Update Date2025-03-20
Business Address
KENYATTA IRVIN NP
PO BOX 3503
GRANADA HILLS, CA 91394-0503
Phone number: 000-000-0011
Mailing Address
KENYATTA IRVIN NP
PO BOX 3503
GRANADA HILLS, CA 91394-0503
Phone number:
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