Individual
MR. BENJAMIN JAMES KEDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4050 KATELLA AVE STE 107, LOS ALAMITOS, CA 90720-3466
(562) 430-4451
Mailing address
4050 KATELLA AVE STE 107, LOS ALAMITOS, CA 90720-3466
(562) 430-4451
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
38145
CA
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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