KEITH DONERSON

COMPTON, CA
NPI1700228640
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  RI-D1207150200)
Enumeration Date2013-07-19
Last Update Date2013-07-19
Business Address
-- KEITH DONERSON
3209 N ALAMEDA ST STE C
COMPTON, CA 90222-1454
Phone number: 310-537-2273
Mailing Address
-- KEITH DONERSON
3209 N ALAMEDA ST STE C
COMPTON, CA 90222-1454
Phone number: 310-537-2273
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