Individual
DORIAN VINCENT DE PAULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
925 BEVINS CT, LAKEPORT, CA 95453-9754
(707) 263-8382
Mailing address
PO BOX 2402, WILLITS, CA 95490-2402
(707) 513-7226
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48342
CA
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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