JERMAINE LEYCESTER GODWIN

CARSON, CA
NPI1124384102
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2012-04-04
Last Update Date2012-04-04
Business Address
Mr. JERMAINE LEYCESTER GODWIN
17406 PRONDALL CT
CARSON, CA 90746-1642
Phone number: 424-222-1326
Mailing Address
Mr. JERMAINE LEYCESTER GODWIN
17406 PRONDALL CT
CARSON, CA 90746-1642
Phone number: 424-222-1326
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