LAKEIIA RAE'CHELLE PENSON

CARSON, CA
NPI1629896030
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95032332)
Enumeration Date2024-10-03
Last Update Date2024-10-03
Business Address
LAKEIIA RAE'CHELLE PENSON
17508 SCUDDER CT
CARSON, CA 90746-1651
Phone number: 323-707-3661
Mailing Address
LAKEIIA RAE'CHELLE PENSON
17508 SCUDDER CT
CARSON, CA 90746-1651
Phone number: 323-707-3661
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