DEANTA DOUGLAS

LONG BEACH, CA
NPI1376469213
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2026-06-25
Last Update Date2026-06-25
Business Address
DEANTA DOUGLAS
2600 REDONDO AVE FL 6
LONG BEACH, CA 90806-2325
Phone number: 562-256-7920
Mailing Address
DEANTA DOUGLAS
2600 REDONDO AVE FL 6
LONG BEACH, CA 90806-2325
Phone number:
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