Individual
DANA A DAHLKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, CADC, CDVC
Contact information
Practice address
784 W HAMILTON AVE, SAN PEDRO, CA 90731
(310) 755-4758
(323) 759-3427
Mailing address
784 W HAMILTON AVE, SAN PEDRO, CA 90731
(310) 755-4758
(323) 759-3427
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A23725
CA
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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