Individual
MR. KEITH JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
2180 GARNET AVE STE 3L, SAN DIEGO, CA 92109-3676
(619) 204-5967
Mailing address
2180 GARNET AVE STE 3L, SAN DIEGO, CA 92109-3676
(619) 204-5967
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
59131
CA
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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