Individual
MARITESS KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16705 PRAIRIE FAWN CT, SAN DIEGO, CA 92127-3408
(858) 524-6644
Mailing address
16705 PRAIRIE FAWN CT, SAN DIEGO, CA 92127-3408
(858) 524-6644
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
AT4198
CA
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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