Individual
MISS TERRAN IMANI POINDEXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 SW HOLDEN ST, SEATTLE, WA 98126-3505
(206) 933-7000
(206) 933-7101
Mailing address
9145 PINON AVE, HESPERIA, CA 92345-3773
(760) 900-7371
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
E1873356
CA
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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