Individual
DONNA LEDET-WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4335 ATLANTIC AVE, LONG BEACH, CA 90807-2803
(522) 216-4900
(526) 416-1516
Mailing address
11514 ELVINS ST, LAKEWOOD, CA 90715-1218
(562) 225-5900
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
VN189282
CA
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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