Individual
DEYANTAE GILBERT NEWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
5245 MACARTHUR BLVD, OAKLAND, CA 94619-3448
(510) 225-5419
Mailing address
5245 MACARTHUR BLVD, OAKLAND, CA 94619-3448
(510) 225-5419
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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