Individual
MR. KENNETH W JEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14414 DELANO ST, VAN NUYS, CA 91401
(818) 374-2047
(818) 989-8903
Mailing address
9150 E IMPERIAL HWY, RM # P-31, DOWNEY, CA 90242
(562) 940-3694
(562) 658-4725
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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