SearchCalifornia2251G0304X

Maritess Kennedy

NPI 1164810586 · on the registry since 2015 · sole proprietor

Practice

Address
16705 Prairie Fawn Ct
San Diego, CA 92127
Phone
(858) 524-6644

Registry record

Primary taxonomy
2251G0304X
2251G0304X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-01-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California