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Organization

DHST INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM KENNAMORE (CEO)
(949) 861-4378
Entity
Organization

Contact information

Practice address
5001 BIRCH ST, SUITE 8, NEWPORT BEACH, CA 92660-2116
(949) 861-4378
Mailing address
5001 BIRCH ST, SUITE 8, NEWPORT BEACH, CA 92660-2116
(949) 861-4378

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
102522804
CA

Other

Enumeration date
12/11/2014
Last updated
12/22/2014
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