Individual
KEENAN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 E 15TH ST, MERCED, CA 95341-6217
(209) 381-6800
Mailing address
PO BOX 2087, MERCED, CA 95344-0087
(209) 381-6800
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT28326
CA
Other
Enumeration date
12/26/2018
Last updated
09/14/2021
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