| Mr Kerry Quakenbush, | |
|
3506 Blossom Ln Unit C, Redondo Beach, CA 90278-1456 | |
| (323) 841-9344 | |
| Not Available |
| Full Name | Mr Kerry Quakenbush |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 3506 Blossom Ln Unit C, Redondo Beach, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801563564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 81142 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kerry Quakenbush, 3506 Blossom Ln Unit C, Redondo Beach, CA 90278-1456 Ph: (323) 841-9344 | Mr Kerry Quakenbush, 3506 Blossom Ln Unit C, Redondo Beach, CA 90278-1456 Ph: (323) 841-9344 |
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