MIRACLE KENNON
Home Health Aide
Active
Individual
NPI: 1417403163
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Home Health Aide | 374U00000X | Yes | D8116361 (CA) |
Frequently Asked Questions
NPI 1417403163 is the National Provider Identifier for MIRACLE KENNON, a Home Health Aide provider located in Los Angeles, CA. This NPI was enumerated on August 31, 2016.
MIRACLE KENNON practices at 711 W 54TH ST, Los Angeles, CA 90037.
Quick Facts
- NPI
- 1417403163
- Type
- Individual
- Enumerated
- Aug 31, 2016
- Last Updated
- Aug 31, 2016
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