KENYATTA IRVIN

PALMDALE, CA
NPI1689325425
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95018472)
Enumeration Date2022-01-13
Last Update Date2022-10-06
Business Address
KENYATTA IRVIN NP
607 W AVENUE Q STE A
PALMDALE, CA 93551-3872
Phone number: 562-552-1374
Mailing Address
KENYATTA IRVIN NP
19401 PARTHENIA ST APT 1040
NORTHRIDGE, CA 91324-3241
Phone number: 562-552-1374
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