Individual
CECILEE K KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTERS
Contact information
Practice address
275 BECK AVE, FAIRFIELD, CA 94533-6804
(077) 842-2417
Mailing address
867 N FAIR OAKS AVE, PASADENA, CA 91103-3050
(626) 798-6793
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/19/2018
Last updated
06/09/2025
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