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Individual
LONNASHA DONSHAY POWELL-NELSON
Active
Individual
LONNASHA DONSHAY POWELL-NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XDJ95411401D
MEDICAL
CA
Enumeration date
02/23/2018
Last updated
03/06/2019
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