KEVIN JOHN MAXWELL

SAN DIEGO, CA
NPI1821384371
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  20902)
Enumeration Date2011-06-23
Last Update Date2011-09-27
Business Address
-- KEVIN JOHN MAXWELL FNP
6973 LINDA VISTA RD
SAN DIEGO, CA 92111-6342
Phone number: 858-279-0925
Mailing Address
-- KEVIN JOHN MAXWELL FNP
1504 CYPRESS AVE
SAN DIEGO, CA 92103-4517
Phone number: 619-750-5502