Individual
MR. KENNETH MAYFIELD II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
6737 DENNY AVE APT 36, NORTH HOLLYWOOD, CA 91606-2296
(310) 498-0167
Mailing address
6737 DENNY AVE APT 36, NORTH HOLLYWOOD, CA 91606-2296
(310) 498-0167
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
36662
CA
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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