Individual
MR. KERRY QUAKENBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3506 BLOSSOM LN UNIT C, REDONDO BEACH, CA 90278-1456
(323) 841-9344
Mailing address
3506 BLOSSOM LN UNIT C, REDONDO BEACH, CA 90278-1456
(323) 841-9344
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
81142
CA
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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