KEISANNA DRANEE' SPARROW

SAN PEDRO, CA
NPI1417507799
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-09-18
Last Update Date2022-10-11
Business Address
KEISANNA DRANEE' SPARROW
205 W 9TH ST
SAN PEDRO, CA 90731-3711
Phone number: 310-521-9209
Mailing Address
KEISANNA DRANEE' SPARROW
205 W 9TH ST
SAN PEDRO, CA 90731-3711
Phone number: 310-521-9209
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