Individual
SUZETTE DONALDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4164 BROCKTON AVE, RIVERSIDE, CA 92501-3400
(951) 683-5193
Mailing address
4164 BROCKTON AVE, RIVERSIDE, CA 92501-3400
(951) 683-5193
(951) 683-6019
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-IMROPJ
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
09/18/2020
Last updated
07/12/2023
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