Individual
KEITH LAMONT NORWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1840 CAPITOL ST, VALLEJO, CA 94590-5721
(510) 290-5182
Mailing address
1840 CAPITOL ST, VALLEJO, CA 94590-5721
(510) 290-5182
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
CA
Other
Enumeration date
03/21/2025
Last updated
09/04/2025
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