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Organization
ICELANDIC WESTERN CUISINE LLC
Active
Organization
ICELANDIC WESTERN CUISINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARISSA MARIE DALY (CEO)
(817) 695-3689
Entity
Organization
Contact information
Practice address
8657 SIERRA AVE, FONTANA, CA 92335-3841
(817) 695-3689
Mailing address
160 E 3RD ST, SAN BERNARDINO, CA 92410-4802
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
10/15/2026
Last updated
10/15/2026
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