Individual
KATHLEEN MATTHEWS KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4855 PINE ST, LA MESA, CA 91941-3825
(619) 697-9002
Mailing address
3851 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 692-8292
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
CA
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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