Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Suzette Donaldson

Individual provider Rehabilitation Practitioner · NPI 1124634779

Suzette Donaldson is a Rehabilitation Practitioner in Riverside, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

4164 Brockton Ave
Riverside, CA 92501-3400
Phone: (951) 683-5193
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2677 Zoe Ave Ste 304, Huntington Park, CA 90255-3699 — (323) 346-0960

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence MPSS-IMROPJ (CA)
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1124634779
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 18, 2020
Last updated in NPPESJuly 12, 2023
Certification dateJuly 12, 2023
Mailing address4164 Brockton Ave, Riverside, CA 92501-3400

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