Individual
DAMION LAJAUN WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008-1821
(310) 345-6159
Mailing address
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008-1821
(310) 345-6159
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
05/21/2025
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