KENNY ROOSEVELT

SAN FRANCISCO, CA
NPI1710703087
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
Enumeration Date2024-12-02
Last Update Date2024-12-02
Business Address
KENNY ROOSEVELT N/A
1380 HOWARD ST FL 2
SAN FRANCISCO, CA 94103-2649
Phone number: 628-754-9216
Mailing Address
KENNY ROOSEVELT N/A
1380 HOWARD ST FL 2
SAN FRANCISCO, CA 94103-2649
Phone number: 628-754-9216