Individual
LANCE AARON KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18811 REDWING ST, TARZANA, CA 91356-3341
(240) 205-9462
Mailing address
18811 REDWING ST, TARZANA, CA 91356-3341
(240) 205-9462
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
CA
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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