Individual
DASEAN DESHAZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
(404) 756-1959
Mailing address
4313 E TOLEDO ST, GILBERT, AZ 85295-0254
(803) 309-9285
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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