Individual
LAKEISHA ROCHELLE RAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3737 MARCONI AVE, SACRAMENTO, CA 95821-5303
(916) 480-1801
Mailing address
3737 MARCONI AVE, SACRAMENTO, CA 95821-5303
(916) 480-1801
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
04/28/2025
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