Individual provider · NPI-1

Terren Deshan Adams

Community Health Worker · Los Angeles, CA

NPI number1124857537
StatusActive
Last updated in NPPESAug 1, 2024

Details

NPI
1124857537
Entity type
Individual (NPI-1)
Name
Terren Deshan Adams
Sex
Male
Sole proprietor
No
Enumeration date
Aug 1, 2024
Certification date
Aug 1, 2024
Last updated
Aug 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

1774 Zonal Ave Bldg C
Los Angeles, CA 90033-1064

Phone 310-221-6336

Mailing address

1774 Zonal Ave Bldg C
Los Angeles, CA 90033-1064

Phone 310-221-6336

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