Individual
DEIONNA LAKEISHA SOUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17861 ALDERWOOD CT, CARSON, CA 90746-1694
(562) 659-0950
Mailing address
17861 ALDERWOOD CT, CARSON, CA 90746-1694
(562) 659-0950
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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