KEVIN RAY PENN

SANTA ANA, CA
NPI1932753829
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-07-29
Last Update Date2019-07-29
Business Address
KEVIN RAY PENN
1207 E FRUIT ST
SANTA ANA, CA 92701-4206
Phone number: 714-953-9373
Mailing Address
KEVIN RAY PENN
1207 E FRUIT ST
SANTA ANA, CA 92701-4206
Phone number: 714-953-9373
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