Individual
DESHAWNE TYRONE THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 CIRBY HILLS DR, ROSEVILLE, CA 95678-4360
(732) 619-5382
Mailing address
550 W WASHINGTON AVE, ESCONDIDO, CA 92025-1643
(760) 489-6380
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
16197
CA
Other
Enumeration date
10/15/2024
Last updated
10/27/2025
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