Lance Aaron Kennedy
NPI #1104661925 in Tarzana, California
Provider Information
- NPI Number
- 1104661925
- Entity Type
- Individual
- Name
- Lance Aaron Kennedy
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jun 25, 2024
- Last Updated
- Jun 25, 2024
Practice Location
- Address
- 18811 REDWING ST
- City
- Tarzana
- State
- California
- ZIP Code
- 91356-3341
- Phone
- (240) 205-9462
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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