Individual
MR. CHE DESHAUN NEWSOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
4714 2ND AVE, LOS ANGELES, CA 90043-1454
(323) 359-5503
Mailing address
4714 2ND AVE, LOS ANGELES, CA 90043-1454
(323) 359-5503
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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