LERON MARQUIS RIDEOUT

SACRAMENTO, CA
NPI1326712878
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-08-06
Last Update Date2021-08-06
Business Address
LERON MARQUIS RIDEOUT
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 916-395-3552
Mailing Address
LERON MARQUIS RIDEOUT
7881 CARIONE WALK
SACRAMENTO, CA 95823-6041
Phone number: 916-877-0457