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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEIONNA LAKEISHA SOUDER

Active Sole Proprietor

DEIONNA LAKEISHA SOUDER is a Community/Behavioral Health healthcare provider located in CARSON, California. NPI 1073140430 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · CARSON, CA

Registration Details

NPI Number
1073140430
Provider Type
Individual
Gender
Female
NPI Issued
Mar 25, 2020 (6.4321018959276 yrs)
Last Updated
Mar 25, 2020
Sole Proprietor
Yes

Practice Information

Address
17861 ALDERWOOD CT
CARSON, CA, 907461694
Browse CA providers · Browse ZIP 90746
Phone
5626590950
Primary Specialty
Community/Behavioral Health
251S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.