Individual
ROBERT KENYY MEIDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
648 N. H STREET, LOMPOC, CA 93436
(805) 865-1940
Mailing address
648 N. H STREET, LOMPOC, CA 93436
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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