Individual
ANA R DOLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3303 N BROADWAY, LOS ANGELES, CA 90031-2803
(323) 478-8200
Mailing address
850 DRYSDALE WAY, MADERA, CA 93638-3978
(559) 718-4327
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/26/2015
Last updated
09/11/2024
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