KENNETH JEROME HAINSWORTH

STOCKTON, CA
NPI1942822184
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-05-11
Last Update Date2020-05-11
Business Address
KENNETH JEROME HAINSWORTH DO
1800 N CALIFORNIA ST
STOCKTON, CA 95204-6019
Phone number: 209-943-2000
Mailing Address
KENNETH JEROME HAINSWORTH DO
1800 N CALIFORNIA ST
STOCKTON, CA 95204-6019
Phone number: 209-943-2000