KENNETH LAMONT BRYANT

VICTORVILLE, CA
NPI1740937135
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-03-04
Last Update Date2022-03-04
Business Address
KENNETH LAMONT BRYANT
13333 PALMDALE RD
VICTORVILLE, CA 92392-9364
Phone number: 760-241-4917
Mailing Address
KENNETH LAMONT BRYANT
13333 PALMDALE RD
VICTORVILLE, CA 92392-9364
Phone number: 760-241-4917