Individual
KEMONI ELEXIS COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8790 CUYAMACA ST STE A, SANTEE, CA 92071-4295
(619) 596-5969
Mailing address
8790 CUYAMACA ST STE A, SANTEE, CA 92071-4295
(619) 596-5969
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
54355
CA
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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